Rep Portal for FaxSIPit
Zoom Fax Needs Assessment
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1. Rep Information
Rep Name
*
First
Last
Rep Email
*
2. How you are currently using fax
How does your company send/receive faxes now? Check all that apply
Virtual fax (email to fax | fax to email)
Print to Fax (fax print driver)
Fax Machine (fax capable hardware device)
Web to Fax (web page that sends a fax)
How many fax users do you have?
*
How many physical fax devices do you have?
*
What is the monthly usage in fax pages total?
*
Expected usage is ok too. Approximation is fine.
Do you have any fax compliance needs? (HIPAA, FISMA, CCPD, GDPR, etc.)
*
No
Yes
Please list or describe your fax compliance needs.
*
If this is a change in your workflow process, please describe the change.
3. Fax numbers
How many fax numbers do you have?
*
Approximation is fine.
Do you need any new fax numbers?
*
No
Yes
Do you have any Toll Free fax numbers?
*
No
Yes
Do you have any offices outside of US & Canada that require fax numbers? If so please list the countries:
4. Additional information
Do you have a monthly budget constraint or requirement you need, if so what is the amount?
Do you have a timeline for when this should all be completed?
Date Format: YYYY dash MM dash DD
5. Primary Contact and Company Details
Primary contact name
*
First
Last
Primary contact email
*
Primary contact phone number
Company name
*
Company website
Company phone number
Company fax number
Company address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
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Venezuela
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Virgin Islands, U.S.
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Western Sahara
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Country
CAPTCHA
Email
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