New Phone Installation Form
Items marked with an (*) are required
*Please select the type of phone you need:
(Please allow up to 7-10 Business days for completion)
(Which building ,room or cubical?)
*Will this phone require Voice Mail?
*Was there a phone at this location within the past 60 days?
* What is the Voice Mail's Escape Extension?
(What extension to forward the caller to if they get voice mail and press zero)
Will this phone require any additional features?
New User's Information Section:
*User's UIN Number
(*If you do not have this number, please enter in (9) 1's, so 111111111)
*Please fill out the template for the Directory Listing
[USER NAME] 
[TITLE]
[DEPARTMENT NAME]
[COLLEGE OF XXXXX] [Room Number]
[EMAIL]
Requestors Information Section:
*What is your Departments Banner Index Number?
(What account do you want this charged to?)
*Number we can contact you if needed
Comments/Additional Information
*By checking the box below, you acknowledge that you have departmental authorization to request Telecommunication changes. I further acknowledge that I am aware that my department may incur additional charges based upon the services requested on this form. Once you select "Submit", if you do not see a picture of our department thanking you for filling out the form, and it brings you back to the form, your form WAS NOT submitted. Please correct the errors on the form labeled in red formatting, and try submitting again until you see the picture as last described.