Coordinator’s Name
Coordinator Extension Number
Coordinator Department
VOIP Short Order Form
Information Technology Services
271 Durham Center
294-8565 Fax 294-5050
support@iastate.edu
______
WO#__________________
Desired completion Date:
As soon as possible
Emergency/Rush (Call 4-8565 to obtain prior approval. If approved, there will be a $100 expedite
fee per order with a maximum of 2 installs/moves in the same building.)
Specific Date:
(Must be received more than 5 working days ahead of specific date.)
Add
Change
Move
Disconnect
Upgrade
Downgrade
Special Instructions:
Extension #:
Monthly Fund Acct. #
Location: Building
Room #
Jack #
Install Fund Acct. #
Move to: Building
Room #
Jack #
(requires FENET)
(requires FENET)
**New Jack: Attach a room diagram (sketch) marking each new jack location, doors, and north.
Set Type
1608 IP*
1616 IP*
9611G IP*
9630G IP*
Adjunct
Avaya Wireless Headset
1600 24 B Expansion Module
9600 24 B Expansion Module
9611G 12 B Expansion Module
9670G IP*
IP Polycom
Speakerphone
* Requires button set up sheet – please attach
Same features this extension currently has:
Yes
No
Music on Hold ($.50 per month)
Long Distance
Yes
No (if marked no, authorization code needed)
Call Coverage
Add
Delete
(2-6) rings covers (on busy) to Point1
Voice Mail
Add
Extension #
Campus Address
Add
Extension #
Campus Address
Change
Point 2
Point3
Delete
Name Change only
Name:
Zero option extension:
Password Reset
Delete
Name Change only
Name:
Zero option extension:
Password Reset
Call Pickup – an extension may not be in more than one call pickup group.
Extension No. in the group:
Add:
Drop
or group number (if known)
Add:
Drop
Coordinator Signature _______________________________________ Date ________________
Order____________ Em/Pr____________ Spec I____________ Spec II____________ Closed____________
POE Port #(brick) _______________________
DNS reset______________