Cisco
Consent Form

Consent Form

Consent to Provide Information

Submit the below consent form to grant your partner access to view your entire installed base. This will allow your partner to help drive your business outcomes, simplify your renewals, plan for end-of-life, improve security, and more.
Cisco is authorized to release installed base and/or product usage telemetry information described in Section 2, for the company indicated in Section 1 below, to the authorized parties identified in Section 3.

1. Consent to Provide Information
Please sign in the spaces below to authorize Cisco to provide the information described in Section 2 to the company identified in Section 3. By signing this consent you are acknowledging you are the responsible contact to provide this authorization.
  • Type your name as your digital signature

2. Information to be Provided
The information to be provided is (please select):
Consent to share the following data:
Installed Base Product Usage Telemetry
  • Product ID
  • Product Configuration
  • Product Serial Numbers
  • Incumbent Service Level Cisco Brand Services
  • Incumbent Service Program
  • Incumbent Service Start and End Dates
  • Install Site Location
  • Cisco software and/or appliance connection dates
  • Cisco software version level
  • Quantity and type of devices leveraging Cisco software (per Customer site)
  • Percentage of devices utilizing Cisco software
  • Cisco CX Lifecycle stage
* The Installed Base and Product Usage data is not limited to what was purchased from the incumbent partner
The following types of information will not be shared: Personal Data; Other Incumbent Partner Name(s); Discounts; Service Levels; Sales Orders; Service Contract Numbers; and Purchase Order Information.

3. Authorized Parties
The person(s) and company will be allowed to receive the information mentioned in Section 2.

4. Validity Time Period
Your consent will be valid until you revoke.

5. How to Revoke Consent
Customer can revoke this consent at any time, by emailing customer-consent@cisco.com.

6. Disclaimer
By clicking 'Submit' below, Customer consents to and requests that Cisco Systems, Inc. or its affiliates periodically provide or grant access to the information specified above to the Partner and affiliated entities. Customer agrees that Cisco will not be liable for Partner's use of the data. Your contact information will be added to Cisco's database and may be used for future communications. Please contact us if you have any concerns.