Broadband Completion Form

Installation handover & completion

Complete the installation details and supporting evidence below. Fields marked * are intended to be mandatory in the finished form.

VISUAL PROTOTYPE

1 Work order & customer

Basic information about the appointment and property.

Installer name *

Installation date *

Customer name *

Email address

Customer address *

Community *

Property What3Words

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2 Installation details

Describe the equipment fitted and any non-standard work carried out.

Broadband solution installed *

Indoor routerInternal customer equipmentOutdoor radioExternal radio equipmentMedia converterFibre / Ethernet conversion

Installation charge

Additional charge (£)

Voucher number

UPRN

Additional charges / wiring beyond 10m surface clipped

Installation description — property boundary to router *

Initial contract term

3 System summary

Service identification and commissioning information.

Location reference

Community / splitter / port / property

PPPoE username / customer reference

PPPoE password

Download speed (Mbps)

Mbps

Upload speed (Mbps)

Mbps

ONU serial number *

Provisioning notePPPoE credential generation and RADIUS provisioning will be connected in a later development phase.

4 Installation photographs

Photo evidence requested for the completed installation. These are visual placeholders only.

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Router installedPhoto of the installed router

ADD PHOTO

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ONU serial numberClear image of serial label

ADD PHOTO

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ONU installedPhoto showing ONU position

ADD PHOTO

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Non-standard featuresAdditional installation photos

ADD PHOTOS

Additional supporting photos may include the front and side of the property, line of sight, internal equipment and a speed-test screenshot.

5 Installer checklist

To be completed by the attending engineer.

Installation photos taken (front, side, line of sight and internal)Download and upload speed-test screenshot taken and shown to customerRouter installed and demonstrated to customer (where specified)System demonstrated working to customer (web page demonstration)

6 Customer checklist

Customer confirmation following installation and demonstration.

I am satisfied with the installationI have been shown the download and upload speedsThe system has been demonstrated to me as working (web page demonstration)My router has been demonstrated to me as working

7 Customer sign-off

Installation notes / customer comments

I, the customer/client, confirm that the attending engineer has properly installed the above detailed broadband system to my satisfaction and has also provided a clear demonstration of the service and equipment functioning. I confirm my understanding of the above notes relating to my installation.

Customer name *

Date *

Customer signature *

Sign here

Digital signature capture will be added later.

Engineer authorisation

A shared engineer password is required to verify access before submitting the form.

Submission password *The password is held in the server's private .env file and is never included in the webpage.

Preview stage: this verifies the password only. Completion records are not yet saved.

Broadband completion form

1 Work order & customer

2 Installation details

3 System summary

4 Installation photographs

5 Installer checklist

6 Customer checklist

7 Customer sign-off

Engineer authorisation