Software Upgrade Request

This form is a requirement for requesting conversion to the new client software, version 2011.

All requests will be prioritized by the Clearinghouse.

Contact us if you do not hear from us within 10 business days.

1. Local Government Name:
2. Current method for submitting debts	Client software ASCII or Excel Hardcopy forms None (new participant)
3. Type of Software Requesting	Full client software Hybrid (submit ASCII or Excel files but use to view and print)
4. Level of Request	HIGH (URGENT) MEDIUM (ASAP) LOW
5. Explain needs or benefits this version provides that current doesn't
6. Departments currently submitting debts	Taxes EMS Utilities Health Other None (new participant)
7. Departments not currently submitting debts but expected to in 2011	Taxes EMS Utilities Health Other
8. How many workstations is the current software installed?
9. How many workstations need the new software?
10. Configuration Needed	Workstation (one user) Network (multiple users)
11. If workstation (one user), can we install the free version of Microsoft SQL Express?	Yes No N/A (networked version)
12. If multiple workstations will be using the new software a network is required. Does your network already have Microsoft SQL Server installed?	Yes No N/A (workstation only)
13. If Microsoft SQL server installed, what version?	SQL Server 2008 SQL Server 2005 SQL Server 2000 SQL Server 7.0 SQL Server 6.5 N/A (workstation only)
14. If a network, if no SQL Server installed can we install SQLExpress (free) with support from I.T.?	Yes No N/A (workstation only)
15. I.T. contact name
16. I.T. contact phone number
17. I.T. contact email address
18.Do you have to pay for I.T. support?	Yes No Unsure
19. Your name
20. Your phone number
21. Your Email Address