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Information Technology Services
Phone Request Form
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Today's Date: 10/12/2008

Requested date of completion:
Month: Day: Year:
Department:
Organization Number:
Authorized by:
Contact Name:
Extension:
Contact Extension:
Department Fax:
Contact E-mail:
Type of service requested:

Phone: Yes: No:
Voicemail: Yes: No:
Other: Yes: No:

In the “Description section below, please include as much pertinent information as possible, including, but not limited to the following:

Current employee (name) New Employee (name)
Current extension numberNew extension number needed
Current phone type: Display (digital) or Standard (analog)New phone needed: Display (digital) or Standard (analog)
Current room numberNew room number (if relocating)
Personal Voice Mail neededShared Voice Mail needed
Use existing voice port/jackNeed wiring installed

Description:

The person listed in the authorized section above, is hereby granting permission for the work to be performed as listed. It is also understood that the work will be coordinated with the contact person, and that the contact person will be responsible for providing any details required to perform the work. It is further understood that the Department of Information Technology Services may need to use the services of outside contractors to complete the work. Permission is also granted for the I.T.S. Department to make such arrangements. The resulting charges will be billed to the budget codes listed above. A cost estimate of work performed may be requested before giving final authorization.