* First Name
* Last Name
* Company
Address
City
State
Zip Code
* Phone Number
Fax Number
* Email Address
Web Site Address
What are the documents currently referred to within your business?
(i.e. Records, Contracts, Billing)
What is the typical size of the documents to be converted? If different sizes, what percentage of each?
8 1/2" x 11"
0%
1%-10%
11%-20%
21%-30%
31%-40%
41%-50%
51%-60%
61%-70%
71%-80%
81%-90%
91%-100%
8 1/2" X 14"
0%
1%-10%
11%-20%
21%-30%
31%-40%
41%-50%
51%-60%
61%-70%
71%-80%
81%-90%
91%-100%
14" x 17"
0%
1%-10%
11%-20%
21%-30%
31%-40%
41%-50%
51%-60%
61%-70%
71%-80%
81%-90%
91%-100%
Other large documents (i.e. Engineering docs, etc.)
0%
1%-10%
11%-20%
21%-30%
31%-40%
41%-50%
51%-60%
61%-70%
71%-80%
81%-90%
91%-100%
Other small documents (i.e. checks, stubs, etc.)
0%
1%-10%
11%-20%
21%-30%
31%-40%
41%-50%
51%-60%
61%-70%
71%-80%
81%-90%
91%-100%
What is the approximate percentage of duplex (print on both sides of document) pages?
0%
1%-10%
11%-20%
21%-30%
31%-40%
41%-50%
51%-60%
71%-80%
81%-90%
91%-100%
Please desribe in your own words how the documents are currently structured.
The documents are stored as follows (if necessary, measure it in terms of linear feet, storage boxes, etc.)
Paper
(10 Boxes, 10 Drawers, 10 Bins, etc.)
Microfilm
(10 Boxes, 10 Drawers, 10 Bins, etc.)
Other
(10 Boxes, 10 Drawers, 10 Bins, etc.)
The estimated average number of pages per folder (document) is:
pages
If color images are required in color, please enter estimated percentage of total:
0%
1%-10%
11%-20%
21%-30%
31%-40%
41%-50%
51%-60%
61%-70%
71%-80%
81%-90%
91%-100%
Special Handling:
Do documents need to be restapled?
No
Yes
Restore exact original stapling device (staple, clip ,rubber band etc)?
No
Yes
Will some documents be marked "not to be scanned" but require restoration in original sequence?
No
Yes
Will some pages be marked "Not be scanned" but require restoration in original sequence?
No
Yes
Elecrtronic Document Imaging & Indexing
An "index field" is any data related to a document, that might be possibly used in the future to help retrieve that document. Please indicate which fields you would like to use for this purpose:
1. Index Field, Length:
(i.e. "First Name, 25 Characters")
2. Index Field, Length:
(i.e. "Last Name, 25 Characters")
3. Index Field, Length:
(i.e. "Address, 30 Characters")
4. Index Field, Length:
(i.e. "Birth date, 15 Characters")
5. Index Field, Length:
(i.e. "Case #, 10 Characters")
6. Index Field, Length:
(i.e. "Id #, 7 Characters")
Average number of new (on-going) pages to be captured:
Daily
Monthly
Yearly
Approximate yearly growth rate
%
What is your best estimate of retrievel requests per day for visual (on-screen) inspection only, no hard copies?
Screen requests per day
What is your best estimate of retrievel request per day for hard copy reproduction (typically on laser printers)
Copy request per day
Is there a database available anywhere in your organization that may contain some or all the indexes to be used for these documents?
No
Yes
The budget for the project has been approved?
No
Yes
You expect to start the project in about
months
Additional Comments
