The State CIO has a normal 5 day turn around on all Telephone Service Orders. If you need service sooner please denote the "Due Date" in the "Brief Description of Request" field. The State CIO also imposes a $60.00 expedite fee on any order requested with less than 24 hours notice.

A "* " indicates a required field. These fields must be filled in in order for you request to be submitted.

* Dept. Name:  
* Project Number:       or    * DIRM 120 Billing #:  

Contact Person(s):
         * Name:           * Tel#:        Bpr#:  
            Name:             Tel#:        Bpr#:  

* Requested By:       Email: 

* Approved By:  

NEW SERVICE (Check for Conduit)
If Service Not Needed Leave Blank
*  Check if you need to add a new service.

* Number of Single Lines      * Number of Digital Lines 

* To:  BLDG  RM

* Set Type:   None 8410 Digital (Multi-Line) 10 Button Phone 8434 (Multi-Line) 34 Button Phone Single-Line Desk Phone (w/ message lamp) Wall Phone (Single-Line Phone) Patient Phone (Single-Line Phone) 8110 Single-Line (w/ speaker & message lamp) 925 Single-Line (w/ speaker & no message lamp)

* Long Distance Capable:  Yes     No 

* Audix:  Yes     No 
           Audix picks up after 3 rings:
           Redirect to a number after 3 three rings. If so, which number:

* Names for Display Screens:

Brief Description of Request:
     

MOVE/CHANGE IN SERVICE(Check for Conduit)
If Service Not Needed Leave Blank
*  Check if you need to move/change a service.

Move From:   BLDG  RM

To:  BLDG  RM

*  Telephone Line type: Choose whether you have a single or digital phone and enter in the phone number.
          Single Line.
          Digital Line.
* Phone Number:  


Brief Description of Request:
     

If you do not receive a tracking number after you hit the "Submit" button your order has not been received by University Communications. Please correct any errors and resubmit.