Certification/Registration Procedure

This form is used to gather specific information about your codec(s) and your local area network (LAN) to certify and register your IP video endpoint into a statewide database of registered endpoints using Click To Meet software. To properly certify and register your equipment, the information you enter on this form must be current and accurate.

You will enter your public static IP address and subnet mask on this form. If you do not know this information, consult your local IT technician.

Instructions:

Upon completion and submittal of this form, IHETS will receive your request and verify 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 Help Desk will verify your codec registration(s) with the appropriate gatekeeper.
An equipment test will be scheduled to 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:
* Site:
* address:
* City:
* State:
* Zip:
* Phone:
Pager:
Fax:
* E-mail:

Codec #1 information

* Terminal endpoint type:
* Equipment manufacturer:
Other:
* Equipment model:
* Building identification: (e.g., Jones Elementary School)
* Primary purpose:
* Serial number:
* IP address:		. . .
* Subnet mask:		. . .
* Gateway address:		. . .
H.323 ID:
* Cable:
Other:
* Switch to endpoint distance:		Ft. (Note: Maximum distance is 300 ft.)

Hardware information

* Firewall type:
Other:
Firewall software/revision number:		Need information on certified H.323 firewalls?
* Are you currently running NAT	Yes No
Switch type:		Note: If you are running a hub environment, leave the switch field blank. An IHETS engineer will contact you to assist in providing more information on obtaining a switch.

Gatekeeper information

* Do you currently have a gatekeeper?

Yes
No

If you answered "no," skip to the next section.

Gatekeeper vendor:
Static IP address:		. . .
Subnet mask:		. . .
DNS name:
Zone prefix (Local area code):

Secondary contact information (optional)

Name:
address:
City:
State:
Zip Code:
Phone:
Pager:
Fax:
E-mail 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.

Validation

* Enter this validation number:

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