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Service Request Form

NOTE: This form must be submitted by the Department Telephone Coordinator.

Contact & Billing Information
Department:
 Complete Chartfield:
Department Telephone Coordinator: Ext #
Email:
  
Where is service required?
Building: Room: Requested Completion Date *
(Please allow 7 business days to complete most requests.)
Billing Name of User: Ext #

*Please note that due to staff furloughs, moves, adds, and changes will not be scheduled for Fridays so that available staff may focus on telephone repairs and emergencies.
Telephone Services
Move Extension: from Bldg/Rm to Bldg/Rm
*Note: Please submit separate forms for each extension.
Add Phonetype: Digital 10-button set Digital 20-button set Analog set  
Do you need to purchase a phone? Digital 10-button phone $200.00
Digital 20-button phone $200.00
Feature Adds / Changes Need extra features? Please explain in our comments box what kind of extra features you need.


Voice Mail Services
Add / Change Basic Premium Information Mailbox  
  *Note: Basic Voice Mail is included with digital service.
Reset Voice Mail Box (this will delete any messages and greetings.)

Comments