System Modification Request

This form allows you to request a quote for a System Modification online. Remember to include as much information as possible so that we may better assist you. Your e-mail address and/or your phone number will be used by Intervoice personnel as the means of contacting you. To fill out this form in MS Word 97 format, download the form then fax it to (972) 454-3171.

Fields marked with an asterisk (*) are required fields.

Contact Information:


Requester's Name:*
Requester's Email:*
Requester's Phone Number:* (Area)    (Number)
Requester's Fax Number:* (Area)    (Number)
RealCare System Number:
Requested Production Date:



Bill To:
 
    
Phone:*   
Fax:*         
  
Ship To:
 Check if same as Bill To.
    
Phone:*   
Fax:*         
  Reset Default Values


Current System Information:


Number of Systems:
Number Different Apps:
RealCare System Number:
IVI Software Version:
Type of Phone Switch:

Modem Phone Number:
Application Phone Number:(Number to call as if a customer)
RAS IP:

VRU attached to a LAN? YES NO    
Operating System: NT OS/2 v1.3 OS/2 v2.1 OS/2 Warp
Modem Software: ISpy ConnectLink Poly PM RAS

Current Features: (Check all that apply)

Custom Reporting Data Connect Hearing Impaired
Multi-Lingual Multi-Institution Voice Dial


Testing:

Testing and installation require the system to be rebooted for periods of time. If a test system is not available, a minimum test period of four consecutive hours is required. Test data which satisfies all conditions of the modification, such as account numbers, PIN's, history information, etc., must be provided.

Test System Available? YES NO  
In-coming line may be dedicated? YES NO  
Outstanding problem with RealCare? YES NO  
Previously Scheduled Modification? YES NO  
Preferred Time? Business Hours After Hours, Weekdays Weekend

(After hours testing is billed at a rate of Time+½ ; Weekends at Double Time.)


Messages:

If modification requires spoken prompts to be changed or added, complete the following:

Voice Talent:  Select the desired voice talent:
Chris Connie Kathy* Ken
Mary Mireya* Customer Supplied Other
*Spanish translation & recording

Message Speed: 24K 32K 64K !64K Master
System Type: VC2 VCD    
Choice of Delivery: IVI Install Federal Express Email Address


Host Interface:

If modification involves mainframe connection, complete the following:

Number of Hosts:
Host Type:
AutoLogin currently used? YES     NO
Data fields/screens being added? YES     NO
Test Host regions available? YES     NO
Can Test LU be dedicated? YES     NO
Host Contact Name:
Contact Phone Number:
At the bottom of this form is a box allowing you to enter detailed information. Please give a detailed description of changes effecting the host, including any autologon sequences and row/column of pertinent information.


Database:

If modification involves database transactions, complete the following:

Type of database: Local Remote  
Required changes:
(Check all that apply)		 New Database? New Table? New Fields in Table?
How is Info Updated in the database?


Detailed Description:

YES NO I request an updated hard copy of the functional spec. (Additional cost for this service)
 
Please enter a detailed description of the requested change:


File Upload Area:





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