Voice/Data Line Disconnect

This form is to be used ONLY by the unit Telephone Coordinator or unit head.  To review costs see Billable Voice & Data Services.  The ITS Help Desk schedules requests on a "first come - first served" basis. Other customers' requests have been scheduled in advance, and due to the volume of requests that we receive, it may take as long as 5-10 working days to issue your order.  As well, there are times where other factors or projects on campus may cause further delays in the ordering process.  Please feel free to call us directly if you have an emergency or exceptional situation.

Telephone Coordinators Information

Name: *
Department:*
Telephone:*
E-mail:*
Account Number or Speed Code:*

Telephone Set/Data Circuit Information

Extension to Disconnect:
Data Circuit Number to Disconnect:
Disconnect from Building & Room:*
Requested Due Date:* (ie: Monday, March 1, 2010)

Western Directory Instructions

Delete Directory Information: Yes No

If Yes please specify in the dialog box the name of the person or frequently used service to be deleted.

Comments:

Please note - Directory changes will be done when the disconnect of the set is completed.


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