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About Us
Leadership
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Technology Never Retires
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1-877-Fiber99
Fiber Optics Site Survey
Fiber Optic Site Survey
Your Name
*
First
Last
Your Email
*
Date
MM slash DD slash YYYY
Client Name
Contact Name
First
Last
Contact Phone
Address where work will be performed
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Who, if anyone, will walk the job with technician?
Estimated client budget
Please provide a detailed scope of work to be performed:
Specify fiber distances
Existing pathway in place or is new required?
Existing
New
Fiber type
Single Mode
62.5
50/125
Fiber count
Fiber rating
Indoor
Outdoor
Freedom
Armored?
Yes
No
Fiber environment
Plenum
Riser
Termination type
Unicam
Fusion splice
Connector type
LC
SC
SC APC
ST
Directional boring required?
Yes
No
If so, please provide distance and conduit requirements
Does the site have open or closing times, or special after-hours needs?
Yes
No
If so, what are they?
How high is the ceiling?
What type of ceiling?
Open
Drop
Hard Coat
Other
What type of pathway is there?
J-hook
EMT
PVC
No existing pathway
Other
Describe any additional pathway, termination or exterior splicing details:
Bays/Couplers brand
Existing Bays and Couplers or new?
Existing
New
Describe Building/MDF/IDF entry requirements:
Are there existing penetrations or are we bringing/installing them?
Existing
We are installing
New or existing MDF/IDF?
New
Existing
Will a lift be required for installation?
Yes
No
Please provide any additional relevant details:
Please upload any site photographs or prints.
Drop files here or
Select files
Max. file size: 128 MB.