Communications Services Request Form

Use this form to Add/Move/Stop NETWORK, VOICE, Voicemail or Long Distance services.

Pricing information can be found at the Phone and Network Services page.

Items with an * indicate a required field.

Department *

FOAPAL Code *
Contact Name *
This is the person who should be called with questions.
Contact Phone *
Phone number where contact can be reached.
Contact E-Mail *
E-Mail address where contact can be reached.
Employee Name *
Who is this request for?
Employee BSU ID *
BSU ID number for employee this request is for.
Employee E-Mail
E-Mail address for employee this request is for.
Employee Phone Extension (For Move/Stop)
Leave blank if this is a new service request.
Employee Voice Mailbox Number (For Move/Stop)
Leave blank if this is a new service request.

Service Request (select all that apply)
Type of request *
Are you requesting NEW service, or to MOVE or STOP existing service?
Types of Service *
Choose the service types covered by this request.

Location Information
New or Existing NETWORK Service Location
Provide the Building Name, Room, Wallplate and Port Number

New or Existing VOICE Service Location
Provide the Building Name, Room, Wallplate and Port Number

Move NETWORK Service To:
Complete only for MOVE requests. Provide the Building, Room, Wallplate and Port Number where the NETWORK service should be moved to. Example: RB, Room 125, 20, port 1.

Move VOICE Service To:
Complete only for MOVE requests. Provide the Building, Room, Wallplate and Port Number where the VOICE service should be moved to. Example: RB, Room 125, 20, port 1.


New VOICE Service Additional Information
New VOICE Service Type
Complete only for NEW VOICE service requests.
Voice Mailbox 0 Out Number
Where to send calls if 0 is pressed in Voice Mailbox? Complete only for NEW Voicemail service requests.
Would You Like E-Mail Notification of New Voicemail Messages?	Yes No
Complete only for NEW Voicemail service requests.

Additional Instructions
Enter Additional Information Here

Questions? Contact Vicki Cooper, UCS (285-1856) or Aaron Lindburgh, Telephone Services (285-8277).