Teller Item Capture

Install Survey

Instructions
Please complete the following form then e-mail it back to. If you have any questions your project manager can assist you.
Customer Information
1)FI Name
2)FIMain Address
3)Routing and Transit Number(s) / 1] 2] 3]4] 5]
4)Host Processing System
5)Do you participate in an SBA network? / ...choose one...Yes (please, list which network)No
6)Do you have additional interface requirements?
7)List any custom / special features promised.
8)Do you currently have a training environment? / ...choose one...YesNo(testTiC and TeRservers are required)
9)Do you use Virtual servers? / ...choose one...NoCitrixVMware
Product Information
1)Software Hardware / Teller Item Capture Components
ItemQuantity
Teller Capture Workstations
TiC Server - Live
TiC Server– Training / Test
Scanners
ItemQuantity
Canon CR50
Canon CR80
MagTek Excella
MagTek Excella STX
Other (please list):
Project Contact Information
Please indicate Project Lead. All project related information will be directed to this person.
1)Accounting Contact
Project lead / Name:Title:
Phone#Cell#
E-mail:
2)Admin Contact
Project lead / Name:Title:
Phone#Cell#
E-mail:
3)Operations Contact
Project lead / Name:Title:
Phone#Cell#
E-mail:
4)Technical Contact (required)
Project lead / Name:Title:
Phone#Cell#
E-mail:
Teller Item Capture
1)Target Live Date for TiC
2)Total # of Teller Stations
3)Going live… / We will go live with some branches before others.
We will go live at all branches at one time.
4)What Host / Teller Platform(s) are you using? / Host Platform = Teller Platform(s) =
5)Have you reviewed the Teller Capture client Hardware & Software Specs/Requirements? / choose one...YesNo
6)# of Deposit items per month.
7)Where will you send your outbound ECL? / Processor:...choose one...CatalystCenCorpChaseConstitution Corporate FCUEndpoint ExchangeFederal ReserveFirst Carolina Corporate Credit UnionGeorgia Credit Union AffiliatesMembers UnitedMid AtlanticMissouri Corporate Credit Union AssociatesPalmetto / CSISouth Carolina CU League & AffiliatesSoutheast CorporateSunCorpSVPCOSynergentVirginia Corporate (VACORP)Wells FargoWest Virginia CorporateOTHER UNLISTED (list below)ABA#
8)Contact at the above processor for this conversion project. / Name:
Phone#E-mail:
9)Do you have a project call scheduled with your item processor? / ...choose one...YesNo When?
10)Do you require Deposit check images to be sent to your existing image archive? / ...choose one...Yes (list at right)No I do not Please describe your requirements:
11)Where are your images archived? / (if in-house list your image archive system)
12)Bonds / ...choose one...We do not process BondsSent to our processor in the ECLProcessed some other wayImage Only ECL required:
13)Foreign Items (Canadian, etc…) / ...choose one...We process Foreign ItemsWe do not process Foreign ItemsImage Only ECL required:
14)Onus / ...choose one...Cleared by us at time of transaction.Sent out with transit itemsPosting file created by Central SiteImage Only ECL required:
15)On-us clearing exceptions. / ...choose one...No exceptions, all process the same.We have the following exeptions > Include full details of any exceptions, below.
Branch Information
Branch information is critical in allowing us to configure your system correctly. Please provide full branch information for each branch.
1) / Branch Name:Branch #:
Address:
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Rev. 7/22/14Page 1 of 2800.836.4750