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Telecommunications & Network Services

Telephone Service Request

Use this form to request a new telephone, move a telephone or disconnect telephone service.

Please enter all fields as accurately and completely as possible. (*Required Fields).

The following information refers to the person who uses or will use this service. Please provide information for that person.

Telephone Service Request Form
* Select a type of request you are making: A, B or C: (option "A" requires selection of telephone style).
A. New telephone request, which type?		If digital and you want a name displayed, enter first and last name to be displayed:
B. Move a telephone connection
C. Disconnect telephone service
* Please provide a brief description of the work needed:
* User's First Name:
User's Middle Name:
* User's Last Name:
* User Category:	Faculty	Staff
* Department:
User’s E-mail Address:
Please enter a telephone number for contacting the user, including the area code if necessary. If the number is a campus number, then enter the 5 digit extension. * Phone:
If we have questions about your request, do you prefer we contact you by telephone or e-mail? E-mail Phone
For new telephone connection, telephone should have the following dialing level: Campus only (dialing level 1) Campus + local (dialing level 2) Campus + local + S.D. county (dialing level 3)
For new telephone, I will need voice mail: Yes No
For new telephone connection, telephone should have the following: Listed number Unlisted number
Note: 1) an unlisted number will not be given to the public. It is used for emergencies only; 2) a listed number will be available to the public in both published and online versions of the SDSU telephone directory.
Please enter the jack number associated with this connection. The format for this number is #.#.### * Current Jack Number:
For telephone adds, moves, or changes, enter the new jack number. * New Jack Number:
Please enter the building and room number where the user is presently located. * Bldg/Rm:
For telephone adds, moves, or changes, please enter the new building and room number location. * New Bldg/Rm:
Charge Account Information Please enter the name of the account administrator for the account.
* Acct. Admin. First Name
* Acct. Admin. Last Name
Enter your account number Format: SDSU Oracle accounts: #####.###.#####.####.####.####.0000 [Oracle accounts are 35 characters long (with dots)] Foundation accounts: ###### ##### Associated Students accounts: #-##-###-####
* Account Number:
* Acct. Admin. Phone:		Format: 4####
Primary Contact Information: This is usually the Telephone Coordinator or you may specify a primary contact. If you choose someone else, please notify them that they will be called upon to assist us. Please choose someone in the proximity of the equipment that needs service; someone who can give us key access to the room. Providing a contact will help to speed the completion of your work request and the workorder number will go to the primary contact.
Contact First Name:
Contact Last Name:
Contact Bldg/Rm:
Contact Phone:
* Contact E-mail:

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This page last updated October 16, 2009
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