escom

AMC Requirement Form

Annual Maintenance Contract

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Section 1 of 80%

Client Info

AMC Type

Infrastructure

Issues

SLA

Support

Contract

Review

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Client Information

Company details & primary contact

Company / Organization Name *

Contact Person *

Email Address *

Phone Number *

Industry

Location

Website

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AMC Type & Coverage

Select the type of maintenance contract required

AMC Type *

Comprehensive (Parts + Labor)

Non-Comprehensive (Labor Only)

IT Infrastructure

ELV Systems (CCTV / Access)

Networking & Security

Full IT Managed Services

Coverage Scope

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IT Infrastructure Details

Provide device counts for your environment

Total Devices (Approx)

Servers

Workstations / Desktops

Laptops

Printers / MFPs

CCTV Cameras

Access Points (WiFi)

Switches

Firewalls

UPS Units

Access Control Devices

Other Devices (Please specify)

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Current Issues & Pain Points

Help us understand your existing challenges

Describe current IT issues or challenges

Existing IT Service Provider (if any)

Reason for Change / Seeking New AMC

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SLA & Priority Requirements

Define your expected service levels

SLA Priority Level

Expected Response Time

Support Hours Required

Onsite Visits Required

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Support Scope & Services

Select the services you require

Remote Support

Preventive Maintenance

Reporting

Spare Parts

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Contract & Budget

Contract duration, timeline, and budget expectations

Contract Duration

Preferred Start Date

Budget Range (AED)

Payment Terms

Additional Notes / Special Requirements

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Review & Submit

Please review all details before submitting

ESCOM TECH LLC | IT Solutions & Services | www.escom.me

Office 1103, Silver Tower, Marasi Drive, Business Bay, Dubai | 04-289 6341