CODEC Information (Before completing this form, you will need to create a unique ID number for each CODEC in your district Select from CODEC #1-20. Please complete a separate form for each CODEC.)
CODEC #
 
Terminal Endpoint Type
 
Equipment Manufacturer
 
Equipment Model
 
Does your CODEC have multi-site capabilities?
  Yes No
What other feature(s) did you add on to your CODEC from the manufacturer?
 

Current Software Version
 
Installation
 
IP Address
 
Cable
 
Primary Purpose
 
Building Name
 
Room Number
 
In-Room Phone #
 
Building Fax Number
 
Where is the fax located?
 
Contact Name
 
Contact Phone
 
Contact Email
 
   
 

Thank you for your responses.

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7/11/05