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Request to Activate, Deactivate, or Add a New Data/Phone Line

Requests must come directly from the Budget Manager or their Administrative Assistant

Please fill in the following fields. *Indicates a required field.

Name of Person Submitting this Form*
Name*

Email Address*

Phone Ext.*

Department*

Budget Manager*

FOAPAL to be Charged
FUND* ORG*

I need to
Activate or Deactivate an existing line

Jack number Phone Number

Building and Room

For use by Enter the name of the person using jack or function of jack, i.e. Conference Room or network printer.

or

Request the installation of a new data or phone line
data line phone line

Building and Room

For use by Enter the name of the person using jack or function of jack, i.e. Conference Room or network printer.

Needed by
[Enter date. We require a minimum of 48 hours notification to perform this service.]

Description of location for new line

When the request has been received, and a call ticket generated, the HelpDesk will contact the requester.


Updated: June 30, 2010
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