Netcom Field Services Intake
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Customer Intake · Form NFS-001 Rev 3.1

Tell us what you need on site.

6 sections with questions tailored to your visit. Use a phone, tablet, or laptop, and choose “Not sure” for details you don’t know — we’ll confirm it with you.

What do you need from us?

Check every box that fits — you can pick more than one. Don’t see an exact match? Check Something Else at the bottom and describe it in your own words; we’ll sort out the right fit with you. The rest of this form only asks about what you pick here.

A router placed indoors — desk, counter, or IT closet — for internet over cellular.
Wi-Fi Coverage in one area, between buildings, or a full signal survey — check any that fit.
Copper Line & Paging Moving an old copper line to cellular, or overhead paging/intercom — check any that fit.
Pick at least one service so we can scope the visit.

Not sure what to pick, or need to talk it through first? Call 1-855-9NETCOM or email FieldServices@networksandcommunications.com — we’re happy to help before you fill anything out.

Company and site information.

This is the site where the survey or installation will happen. If your billing address is different, we will capture it on the Statement of Work.

Company name is required.
Street address is required.
City is required.
State is required.
ZIP is required.

Building and site details.Answer what you know

Front-loading these reduces back-and-forth before we book the visit. Skip anything you do not know — we will fill it in together.

Not sure about the technical details? That’s completely normal — most customers don’t know their PoE, network drops, cell signal, or exact device counts. You don’t have to guess. Check the box below to request a survey. We will confirm the scope, price and appointment with you first.

Who do we coordinate with?

Primary contact handles paperwork; on-site contact meets the technician.

Primary contact name is required.
A valid email is required.
Phone is required.
On-site contact (day of visit)
Your carrier rep (optional)

If you’re already working with a Verizon / carrier rep, list them so they’re looped in on every confirmation.

Site access and logistics.Answer what you know

Anything that affects how the technician gets in, parks, and stays safe.

Site-level conditions only — PPE and credentials are handled on Access & safety.

Please let your team know we’re coming. The most common cause of a wasted visit is a technician arriving to a front desk or site contact who has no idea Netcom is expected. Please pass this appointment along to whoever will be on site — reception, a manager, security — before the scheduled date.

Existing infrastructure and network.Answer what you know

Helps us plan the handoff and what to bring on site. On a survey, this is also how we inventory what is already there. Skip anything you are not sure of — we confirm on site.

For Verizon eFemto, test the existing site internet, preferably over Ethernet. A phone’s cellular speed test does not measure the connection the eFemto will use. If you are away from the site, choose “Need help”.

Current connection speed Important for failover & connectivity surveys

Go to speedtest.net, run a test on the existing primary internet connection, and enter the results below. Skip this if it doesn’t apply to your scope.

Have a screenshot of your results? Upload it in Timing & files under “Other attachments.”

Network handoff.Answer what you know

How do we hand the new circuit or device off to your existing network? If you are not sure, leave it blank or pick “Not sure” — we will recommend the right approach.

Only fill this if your network uses tagged VLANs. Leave blank if unsure — your IT team or ours can confirm on site.

Cellular installation.

These questions appear because you selected a cellular install above.

One Talk phone installation.

These questions appear because you selected One Talk above. The power and cabling answers tell us what to ship and whether the technician needs splitters, injectors, or extra cable — skip anything you are not sure of.

Important — if you were shipped Netcom’s standard One Talk LTE deskphone: it runs on cellular, not your network. It does not support PoE and has no Ethernet pass-through port for daisy-chaining a computer. It only needs a power source (outlet, power strip, or USB) at the desk — not a network drop. The PoE / network-switch questions below only matter if you have a different, wired (non-LTE) desk phone model.

If unsure whether your phones are LTE or wired, pick “Unknown” — we confirm on site.

Please answer so we know whether to bring power gear.

Every LTE deskphone needs an open outlet or power strip at the desk. Flag any stations with no open outlet so we can plan power.

Please answer so we know how each phone will get power.
Additional phone and cabling details (if known)

This only applies to wired, PoE-capable desk phone models with a pass-through Ethernet port. Netcom’s standard One Talk LTE deskphone has no pass-through port and cannot daisy-chain a computer — if that’s your phone, pick “N/A”.

A splitter pulls power off a PoE line for a device that needs a separate power jack; an injector adds PoE to a non-PoE port. Not sure? Leave blank — we confirm on site.

The technician will follow whatever you write here exactly. Leave blank if you don’t need speed dials set up.

Carrier ports take 1–3 weeks — we coordinate installation and cutover before booking the visit.

Please answer so we know whether to plan a number port.
Number porting & cutover

Moving existing numbers to One Talk? The port date drives when we cut over — we won’t dispatch ahead of it.

Provide this if known; our team can confirm it.
Provide this if known; our team can confirm it.
Provide this if known; our team can confirm it.
Provide this if known; our team can confirm it.
Provide this if known; our team can confirm it.

Analog devices & overhead paging.

These questions appear because you selected Analog & Paging. We use an ATA (analog telephone adapter) to bring fax, paging, alarms, and other analog devices onto One Talk / SIP. Skip anything you are not sure of.

Analog devices & ATA

One port per analog device/line. This sizes the ATA (1/2/4/8/24-port).

Overhead paging — if applicable

The speakers, amplifier, and 70V wiring are always the customer’s equipment, not Netcom’s — Netcom connects the phone-side adapter to whatever paging hardware is already there.

Existing paging system

Not sure which? Pick Unknown — a plain amplifier with a phone-line style input is usually “Analog,” a networked paging box is usually “SIP,” and ceiling speakers with their own network cable are usually “IP speakers.”

If it’s not working, let us know when it last worked below — this helps us catch a bad speaker or amp before the tech is on site.

Helps us flag proprietary or non-standard equipment before the visit. Name the vendor below if you know it.

Have a photo of the amplifier or telco closet? Upload it in Timing & files under “Other attachments” — it can save a wasted trip if the equipment turns out to be something we need to plan for.

Safety and compliance.Answer what you know

Check anything that applies. We pre-brief the technician based on what you mark here.

Field technician scope and responsibilities.

A quick acknowledgement of what is and is not included in a standard Netcom field services visit.

Your Statement of Work defines the approved work. We confirm the scope, price and appointment before scheduling. Any additional work needs prior approval.

Standard installation boundaries
In scope

What the technician will do

Per your Statement of Work.

  • Verify hardware. Match IMEIs / serials, quantities, and condition to the work order before starting.
  • Place & mount. Set devices at the locations your on-site contact directs. Desk, wall, ceiling, pole, or rooftop per SOW.
  • Cable & power. Up to 10 ft of run per device. AC, PoE, or USB-C power as the device requires.
  • Boot to target state. Power on each device and confirm LED, signal bars, and registration.
  • Wi-Fi credentials. Set SSIDs and passwords with the on-site contact when applicable.
  • Network handoff. Connect to firewall, patch panel, switch port, or hand off as device-only — per the SOW.
  • Verify connectivity. Run a speed test at each device.
  • Brief & document. Walk the on-site contact through basic operation, capture closeout photos, get sign-off.
Out of scope

What the technician will NOT do

Routed to other Netcom teams or requires a separate SOW.

  • No network config. Firewall rules, VLANs, DHCP, advanced routing — handled by network engineering.
  • No carrier work. Number porting, call routing, voicemail, hunt groups, One Talk portal, activation, SIM provisioning.
  • No existing-equipment troubleshooting. Routers, ISP modem, computers, phones, Wi-Fi gear stay as-is.
  • No on-the-fly purchases. Materials must be shipped to site before the visit.
  • No custom structural work. Electrical, low-voltage permitting, or out-of-scope drilling.
  • No extended cable runs. Anything over 10 ft requires pre-approval and SOW inclusion.
  • No unsafe elevated work. Lift and safety equipment must be available on site.
  • No PoE workarounds. If AC power is missing, we revisit with Netcom approval — no improvised injectors.
  • No scope creep. Out-of-SOW requests pause until Netcom approves.
Why this matters. These boundaries keep the visit predictable and on-budget. Anything outside the SOW we will scope and price separately — never billed as a surprise.
Please acknowledge the scope before continuing.

When do you need this done?

Timing is the #1 thing our team needs to schedule you. We lock the exact dispatch window after you accept the Statement of Work — these answers tell us your target and availability. Leave dates blank if they are not confirmed. If this install involves a number port, your target date should be built around the confirmed port date below, not a standalone preference.

Your install timing *

Please be as specific as you can — this is what we schedule around.

Please tell us how soon you need this.
Give us a target date, or choose “Flexible” above.
How billing works on arrival: the technician’s time is billed starting at check-in on site, based on your scheduled window — not from when the job actually starts. If access is delayed (no one available to let the technician in, missing badge/escort, etc.), that time still counts. Please make sure whoever is on site knows to expect the technician and can get them in right away.

Check all that apply. We will confirm the expected visit length with you.

Please select at least one day.

When should the technician arrive? Most visits start between 8 AM and noon.

Please select a preferred start time.
Please enter your earliest available date.

Avoids a technician arriving to staff who don’t know about the install.

Additional notes and attachments.Answer what you know

Floor plans, site photos, prior quotes, or anything that adds context. Up to 15 MB per file.

Floor plans are required for cellular enhancement and coverage surveys. Upload a photo, PDF or simple labeled sketch. If unavailable, choose “Need help” and we will arrange collection before survey planning is complete. You can still submit your answers.

Upload a floor plan or choose “Need help” so we can follow up.

Sign-off.

Review your scope one final time, then confirm you have authority to submit this intake for your company.

Required.

Typing your name confirms the acknowledgment above. You may draw your signature below instead.

Sign here
Draw with your finger, stylus, or mouse
Please type your full name or draw your signature before submitting.
What happens after you submit
  1. Your intake is sent to the Netcom Field Services team for review.
  2. We review your scope and follow up within 2 business days, including any missing plans or technical details.
  3. Once the scope is accepted and site requirements are confirmed, we agree on a visit window with you.
Your intake will be sent to

    Have additional details to share? Email FieldServices@networksandcommunications.com or call 1-855-9NETCOM — you can always send more after submitting.

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