SureDial Survey

SureDial Site Survey

To be completed by the customer or onsite tech

"*" indicates required fields

Company

This field is for validation purposes and should be left unchanged.

Please fill out this form completely before we schedule a dispatch for your location. Errors or omissions may make the process longer and more expensive. This form requires eyes onsite and if you can accompany your response with pictures it would be a plus.

Multiple Locations? Save time and use our multi-site request form.

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Zendesk ID*

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Order ID*

Error - no linked order found! Please do not submit this form. Ask your SimpleVoIP support contact to resend you the link for this location.

Customer Info

Customer Name*

Contact Name*

Contact Phone*

Customer Email*

Site Number*

Installation Address*

Street Address Address Line 2 City State ZIP Code

Shipping Address

Leave blank if same as installation

Street Address Address Line 2 City State ZIP Code

Phone Lines*

How many phone lines do you need at this location? Each SureDial device can handle up to 4 lines. **Please note many fire panels require 2 phone lines**

Types of Devices*

Please select all of the types of devices this will be connecting to.

Fire Alarm

Burglar Alarm Panel

Fax

Elevator or Pool Phone

Modem (Data)

Voice Line

Alarm Monitoring Company

Company name and contact information

Alarm Panel Brand and Model

If you have this info please be specific. While the product is compatible with most panels, we want to be sure in advance. Remote access is NOT guaranteed - please ensure you run the model number by us for compatibility.

Alarm Panel Location*

Where is the existing alarm panel?

Customer Suite

Shared Telco Room or Other

Fire Monitoring Company

Company name and contact information

Fire Test Mode Authorized Contact

Who at your company is authorized to put the panel into test mode? Provide Name and Phone and Email

Fire Panel Location*

Where is the existing fire panel?

Customer Suite

Shared Telco Room or Other

Where will the unit be installed?*

INSTALL LOCATION - NO/UNKNOWN: Installer will use our best judgment as to the installation location based on available power, network and cabling. If this is unknown, make sure you select UNKNOWN for Network Connectivity and Power as well.

Is this a SHOPPING MALL or AIRPORT location?*

Yes

MALL LOCATION:
CUSTOMER will need to coordinate access with mall or airport security to the demark and they may need an insurance COI in advance. This especially applies to FIRE panels. REQUIRED: Customer must provide full contact information for the management company and/or the elevator company and set up a call with our team to confirm access and schedule the appointment onsite. We cannot book our dispatch without this step.

Mall Landlord/Manager*

Mall Landlord/Manager Phone*

Mall Landlord/Manager Email*

Physical Cabling Information

The SureDial unit will be wall mounted, generally in the same room as your alarm and fire panels. It needs power, a connection to your network via an Ethernet cable and needs to be connected via a single copper pair to each of the devices you want service for. Please provide as much information as you have available so we can properly estimate the installation time. Our installer can re-terminate existing cables/jacks or run a new cable up to 15 feet as part of the installation.

Network Connectivity at Install Location*

Is there an available Ethernet cable run AT THE INSTALLATION LOCATION or unused jack available to connect the device to your network switch?

Switch Port

Provide the switch name and port number you have configured for us to use

Network Escalation Contact

Who can we call if there are issues with the provisioned switch port or firewall rules?

NETWORK - NO/UNKNOWN: The device requires a network connection to operate. If we are able to run a cable or reuse another cable we find we will do so. If we need to run a new cable we will attempt to complete it and bill time and materials. NOTE: We will complete the install using cellular, however we need a network drop completed ASAP as data plan usage can get expensive and you have 250MB allotted per month.

Telco Room Access Required*

Is the demarc location in a MALL or other building that requires secured access to the telco room?

TELCO ROOM - NO/UNKNOWN: CUSTOMER needs to coordinate access from the manager in order to complete the installation. We cannot schedule the installation until you have confirmed access.

Power Outlet*

Is there an available outlet at the installation location?

POWER - NO/UNKNOWN: Power is required at the installation location. Our technician IS NOT capable of installing a power outlet so you will need to make sure power is available.

Fax Wiring*

Is there currently a copper pair that can be used to connect the device to your fax machine?

Alarm Panel Wiring*

Is there currently a copper pair that can be used to connect the device to your alarm?

Fire Panel Wiring*

Is there currently a copper pair that can be used to connect the device to your fire panel?

Elevator/Pool Wiring*

Is there currently a copper pair that can be used to connect the device to your elevator or pool phone?

Phone Wiring*

Is there currently a copper pair that can be used to connect the device to your phone?

Shared Phone Line*

Are any of your existing lines shared with another service? If so, please enter details in the special instructions box. NOTE: Sharing is NOT recommended and does not work well.

Phone Numbers and Invoice Copies*

Please provide all phone numbers for lines we will be replacing. We will also need recent copies of phone bills showing these phone numbers.

Porting Phone Numbers?*

Most of the time we do NOT port phone numbers.

Yes

WIRING - NO/UNKNOWN: You have indicated that cabling may not be in place currently for this installation. We will attempt to use existing cabling or jacks, including splicing existing wiring or terminating new jacks. If you do not have proper cabling in place we will attempt to install cabling as needed to complete the install and CUSTOMER will be billed for additional time and materials. If cabling cannot be completed (due to distance or height restrictions) we will notify you and provide a quote for future field services.

Special Instructions

Is there anything else we need to know? If you are getting cabling installed or performing a site survey, please indicate here. Let us know if there are 3rd parties we need to work with.

Pictures speak 1000 words! Please take as many pictures as you can of the installation location and any existing equipment you have that we may be connecting to. This will help us review and determine if an onsite survey is recommended. Simply attach them to your email reply to the installation ticket.

SureDial Site Survey

Customer Info

Physical Cabling Information

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