Certification/Registration Procedure

This form is used to gather specific information about your codec(s) and your Local Area Network topology to certify and register your IP video endpoint into the statewide database of registered endpoints using “Click To Meet” software. To properly certify and register your IP video equipment, it is essential that your information is accurate and up-to-date.

You will be asked to confirm your public static IP Address. If you do not have this information at hand, please consult your local IT technician before completing this form.

Instructions:

Upon completion of the form below, an IHETS engineer will receive your request and verify that the minimum standards have been met. IHETS will assist you in obtaining a unique name (H.323 ID) and E.164 address to the equipment. The IHETS Video Network Operation Center (VNOC) will verify your codecs’ registration(s) with the appropriate gatekeeper.
A test of the equipment will be scheduled between IHETS and the user to test the equipment and verify the highest quality conference possible.
Upon completion of successful testing, IHETS will issue a certificate of registration into the “Click to Meet” database for your records.

*required fields

IP Video Certification Form

* Number of CODECs at your site:

You will be asked to provide information about each CODEC at your location. The first CODEC will be identified as CODEC #1, the second as CODEC #2, and so on.

Contact Information

* Contact Name:
* Site Name:
* Address:
* City:
* State:
* ZIP Code:
* Phone Number:
Pager Number:
Fax Number:
* Email Address:

CODEC #1 Information

* Terminal Endpoint Type:
* Equipment Manufacturer:
Other:
* Equipment Model:
* IP Address:		. . .

Hardware Information

* Firewall Type:
Other:
Firewall Software/Revision Number:		Need information on certified H.323 firewalls?
* Are you currently running NAT	Yes No

Secondary Contact Information (optional)

Name:
Address:
City:
State:
ZIP Code:
Phone Number:
Pager Number:
Fax Number:
Email Address:

Scheduling

Dates, times, and comments:

Enter multiple preferred dates and times for your certification/registration test.

Please allow one week to process your request.