subject_line Office Monitors, Workstations, and Peripherals Relocation Short Form Questionnaire The completed questionnaire will enable our team to prepare an accurate, complete and free quotation for service. Please complete your company information below (billable information) Company Name First Name Last Name Address 1 Address 2 City State Zip Code Phone Is the company name or billable address different than the client that will be serviced? ? If you are a vendor working on behalf of a client and partnering with NCWS, the billable address would be your company information, and you will want to add the client information for the client being serviced in the box next to YES. No Yes Email Address Equipment Origin Project Addresses & Project Information Equipment ORIGIN Street Address Address Line 2 City State ZIP Code Enter secondary equipment origin or multiple origins here. Is the service date for this project within the next two weeks? YesNoNot Sure Yet What is the service date being requested for the relocation? (MM - DD - YYYY) - - What is the maintenance time window scheduled for the relocation? * Project inventory (manual entry), you can upload inventory or files associated with the project in the field below. Please attach any file or inventory for the project. <FILE ONE> Equipment Destination Project Addresses & Project Information Equipment Destination Street Address Address Line 2 City State Zip Code * Enter secondary equipment destination or multiple destinations here. Does the destination have truck docks? Yes No Not Sure Do you require NCWS to reassemble IT or Computer equipment from office, desk, or work area? ? This option is for an office, computer, or laptop relocation. Yes No Not Sure Do you require NCWS to re-install the equipment? This is the re-connection of cables, wires, power cables? Yes No Not Sure If NCWS is re-installing the cabling at the destination will you have all cables, wires, power and cables labeled prior to service date? NCWS highly advises this labeling is produced, and finalized prior to the service date. ? At times, equipment will be moved from its original position in the origin rack at the destination which includes removing all cables, wires and power cables. Yes No Not Sure Does the destination building require service ticket generation? Yes No Not Sure Does the destination building require special paperwork? Yes No Not Sure Does the destination building require insurance(s)? ? A company or the building in which your lease is contracted with, may require proof of insurance in order to obtain authorized access to the property. This is referred to as a certificate of insurance. Yes No Not Sure Does the destination have elevators? Yes No Not Sure Are there any stairs at the destination to negotiate? Yes No Not Sure Are there any ramps at the destination to negotiate? Yes No Not Sure Are there any physical objects in the route of travel at the destination to negotiate?