VOICE LINE AND TELEPHONE INSTRUMENT SERVICE REQUEST, ADDITIONAL ITEMS
Attach to “Voice Line and Telephone Instrument Service Request”
DEPARTMENT
DATE
CONTACT NAME
PHONE
BLDG/ROOM
CALL (512) 471-5800 IF YOU HAVE ANY QUESTIONS ABOUT THIS ORDER FORM.
Item
NEW SERVICE:
YES
NO
EXISTING PHONE NUMBER
TYPE OF SERVICE: DISCONNECT*
BLDG
DESKSET TYPE/NO.
COLOR: ASH
*For DISCONNECTS, is this a: TOTAL DISCONNECT
**MOVE: FROM:
TO:
ROOM
or (select all that apply):
INSTALL
MOVE**
OTHER
JACK NUMBER
BLACK
LINE
INTERCOM NUMBER
EQUIPMENT
BUILDING
ROOM
JACK NUMBER
BUILDING
ROOM
JACK NUMBER
VOICE MAIL
Remarks:
Item
NEW SERVICE:
YES
NO
EXISTING PHONE NUMBER
TYPE OF SERVICE: DISCONNECT*
BLDG
DESKSET TYPE/NO.
COLOR: ASH
*For DISCONNECTS, is this a: TOTAL DISCONNECT
**MOVE: FROM:
TO:
ROOM
or (select all that apply):
INSTALL
MOVE**
OTHER
JACK NUMBER
BLACK
LINE
INTERCOM NUMBER
EQUIPMENT
BUILDING
ROOM
JACK NUMBER
BUILDING
ROOM
JACK NUMBER
VOICE MAIL
Remarks:
Item
NEW SERVICE:
YES
NO
EXISTING PHONE NUMBER
DESKSET TYPE/NO.
*For DISCONNECTS, is this a: TOTAL DISCONNECT
**MOVE: FROM:
TO:
TYPE OF SERVICE: DISCONNECT*
BLDG
ROOM
COLOR: ASH
or (select all that apply):
MOVE**
OTHER
JACK NUMBER
BLACK
LINE
INSTALL
INTERCOM NUMBER
EQUIPMENT
BUILDING
ROOM
JACK NUMBER
BUILDING
ROOM
JACK NUMBER
VOICE MAIL
Remarks:
ATTACH ADDITIONAL PAGE(S) IF NEEDED
TSR2 – 2006-01-17