Request Form

Print form, fill out, and have ready for your telecommunication technician's visit.

Extension Number to be Deleted:

Campus:

Name:

Department:

Building:

Room #:

Jack #:

Delete All Including Dial Tone?

Yes __ No __
Dial Tone Will Remain?

Yes __ No __

Delete Name in DIAL Program?

Yes__ No__

Delete Voice Mail?

Yes __ No __

Delete Long Distance Code?

Yes __ No __

Click Phone for Main Menu

Extension Number to be Deleted:
Campus:	Name:			Department:
Building:	Room #:			Jack #:
Delete All Including Dial Tone? Yes __ No __		Dial Tone Will Remain? Yes __ No __			Delete Name in DIAL Program? Yes__ No__
Delete Voice Mail? Yes __ No __			Delete Long Distance Code? Yes __ No __