Faculty/Staff Telecommunications Service Request Form

This form is for faculty or staff who wish to report or request telecommunications service from DoIT. Students should use this form.

If you have questions or problems with this form, please call the Service Desk at (402) 280-1111.

Customer Information: All * are required!!
Contact Person: *
Contact Person Extension: *
Contact Person Net ID: * Find your NET ID
Department to be Billed: *
Fund Code for Billing: *
Org Code for Billing: *
Date Required: (MM/DD/YYYY) *   select

Check requested services:
Request New Line/Replacement of Service Change Name Display Telephone Moves
Removal of Phones Long Distance Codes Fund/Org Billing Changes
Phone Repair Request Voicemail Request Data/Network Request

New Line of Service Form

Requests involving 3 or more lines of service: Please call Service Desk for details (x1111)

Work Request 1: Phone Number: Upgrade and Replacement
Select service needed
Telephone Set 1:    Main campus     West campus (includes Boyne,HSL,CUMC,Cardio Center)
Please select ONE
Please select ONE
 Building:  Room:  Voice Jack:
Add Voice mail: Yes No  Name Display:


Work Request 2: Phone Number: Upgrade and Replacement
Select service needed
Telephone Set 2: Main campus     West campus (includes Boyne,HSL,CUMC,Cardio Center)
Please select ONE
Please select ONE
 Building:  Room:  Voice Jack:
Add Voice mail: Yes No  Name Display:  
 


Comments:



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Change Name Display

Please complete all sections

Building: Extension: Change To:
Building: Extension: Change To:
Building: Extension: Change To:
Building: Extension: Change To:

Comments:



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Move Phone Request
Request #1:
Extension:  Building:  Room:  Current Jack:
 Move to Building :  Room:  New Jack:
   
Request #2:
 Extension:  Building:  Room:  Current Jack:
 Move to Building:   Room:  New Jack:
   
Request #3:
 Extension:  Building:  Room:  Current Jack:
 Move to Building:   Room:  New Jack:
   
Request #4:
 Extension:  Building:  Room:  Current Jack:
 Move to Building:   Room:  New Jack:
   
Request #5:
 Extension:  Building:  Room:  Current Jack:
 Move to Building:   Room:  New Jack:
   
Request #6:
 Extension:  Building:  Room:  Current Jack:
 Move to Building:   Room:  New Jack:

Comments:



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Requesting Phone Removal
Request #1:
Extension: Fund/Org: Building: Room:
   
Request #2:
Extension: Fund/Org: Building: Room:
   
Request #3:
Extension: Fund/Org: Building: Room:

Comments:



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Long Distance Codes

Authorization Code Request:

Name: Net ID:   Find your NET ID Department:
Name: Net ID: Department:
Name: Net ID: Department:
Name: Net ID: Department:

Authorization Code Termination:

Name: Net ID: Department:
Name: Net ID: Department:
Name: Net ID: Department:


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Fund/Org Billing Changes

Fund/Org Change Acct for Phone Only:

Phone Number Current Fund: Current Org: New Fund: New Org:
Phone Number Current Fund: Current Org: New Fund: New Org:
Phone Number Current Fund: Current Org: New Fund: New Org:

Fund/Org Change for Long Distance Only:

Net ID Current Fund: Current Org: New Fund: New Org:
Net ID Current Fund: Current Org: New Fund: New Org:
Net ID Current Fund: Current Org: New Fund: New Org:

Fund/Org Change for Toll Free (1-800):

Toll Free Number: Current Fund: Current Org: New Fund: New Org:


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Phone Repair Request

Extension:

Building:

Room Number:

Trouble:
Fax line is dead
Jack is dead
Static on line
No dial tone
I can hear people, but they can't hear me
I can't make outgoing calls
I can't receive incoming calls
Phone doesn't hang up
The receiver cord is broken
The keypad doesn't work
The handset doesn't work

Brief Description:



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Voicemail Request
   

Voice Mail Information:

Extension: Building:
Action Request: Add Delete
 
Reset Voice Mail:
Building: Extension:

Password will be reset to the default: 28---followed by your extension number
   
Change Rings for Voice Mail:
 Building:  Extension:    No. of Rings
4 5 6

Data/Network Request

Charges may apply, if a problem is not found.

Building:

Room Number:

Data Jack Number:

Data:
Install Data line
Data line is dead
I need to find out if the data line is hot
Data line was working, but now it is dead
I need to have this data line activated

Comments:



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