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Verizon Partner Solutions
\\
Systems & Measures
\\
Local Connectivity Guide
Verizon West Order Connectivity Request Form
Customer Information
Date:05/16/2024
(
*
) Denotes required field
*
Business Name
Contacts
*
Primary
*
First Name
*
Last Name
*
E-mail
*
Phone Number
for Connectivity
First Name
Last Name
E-mail
Phone Number
for Data Content
First Name
Last Name
E-mail
Phone Number
Software Company/Service Provider Information
*
Do you have a Software Company or Service Provider?
Yes
No
(
*
) Denotes required field, if "Yes" is selected in above options.
*
Primary
*
First Name
*
Last Name
*
E-mail
*
Phone Number
for Connectivity
First Name
Last Name
E-mail
Phone Number
for Data Content
First Name
Last Name
E-mail
Phone Number
*
Environment
Please complete and submit two forms, one with your test information and one with your production information even if the information is the same.
CTE
Production
*
Customers OCN(s)
*
Customers CCNA(s)
EDI Sender ID
Qualifier
*
What application data will you be transporting?
Order
Pre-Order
Customer Service Inquiry
Loop Qualification
Billing
Usage
*
Transport of choice
Connect:Enterprise
HTTPS
FTP Dedicated
Connect:Enterprise
SFTP
Interactive Agent
(I/A)
Connect:Direct
Dedicated (TCP/IP)
CORBA Dedicated (not available for processing LSRs)
Please complete the appropriate section below for the transport of choice you select.
Complete this section if Connect:Enterprise has been checked
(
*
) Denotes required field if Connect:Enterprise has been checked
How are you submitting today?
*
Customers Platform
Windows 95/98/NT
UNIX
SFTP only -- Do you have a Secure FTP client (WS/FTP Pro or CUTE FTP)?
Yes
No
If no, you can purchase the product of your choosing, or [SHOW pnCompName] can provide at no cost a Sterling Commerce FTP Client.
HTTPS only - Do you have Internet Explorer 6.0 or Netscape 6.1 or higher?
Yes
No
Complete this section if FTP Dedicated, Interactive Agent, Or CORBA has been checked
(
*
) Denotes required field if FTP Dedicated, Interactive Agent, & CORBA has been checked
*
IP Address
*
Port
Complete below information, if CORBA has been selected
(
*
) Denotes required field, if "Yes" is selected in above options.
*
VeriSign Root Certificate
*
Organization name as it appears on your VeriSign Certificate
Complete this section if Connect:Direct-Dedicated (TCP/IP) has been checked
(
*
) Denotes required field if Connect:Direct-Dedicated (TCP/IP) has been checked
*
Circuit ID
*
Circuit Origination
*
IP Address
*
Port
*
Nodename
*
User ID
*
Password
*
Customers DATASET name(s)
Connectivity Links
Customer Profile Self-Service Tool (CPSST)
Connectivity Wizard
Connectivity Guide
Related Topics
Ordering Local Services
Order Samples
Business Rules
Solutions