Technical Verification Questionnaire - Beneficiary

This questionnaire should be completed by the Beneficiary to provide PRAXIS with the criteria that the Beneficiary would deem as a successful outcome for the Remote Technical Verification. These details are required to provide an accurate scope of work and proposal. Please complete this questionnaire as thoroughly as possible.

1. Beneficiary Information

Escrow Account Number(Required)

Beneficiary Company Name(Required)

First

Beneficiary Technical Contact Information(Required)

First Last

Phone(Required)

Email(Required)

2. Depositor Information

Depositor Company Name(Required)

Depositor Primary Contact Person(Required)

First Last

Email(Required)

Phone(Required)

3. Questionnaire

Describe the function/purpose of the software held in escrow.(Required)

What does the organization want to achieve with this escrow service?(Required)

Does the project involve any hardware that should be covered? If so, please describe(Required)

Will the escrow involve production data backup?(Required)

Who currently deploys and supports the system?(Required)

We/Vendor/Both/Another third party

Do you have tests that you want PRAXIS to execute?(Required)

Does the solution use Cloud platforms?(Required)

4. Success Criteria

What does success look like for this verification?(Required)

What outcome would give you confidence the deposit is usable?(Required)

5. Deliverables & Timeline

Are there milestones or deadlines that we should be aware of?(Required)

6. Completed by

Name(Required)

First Last

Phone(Required)

Email(Required)

Date(Required)

Signature(Required)

1. Beneficiary Information

2. Depositor Information

3. Questionnaire

4. Success Criteria

5. Deliverables & Timeline

6. Completed by

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