Telephone Move Request Form

Contact Information
Service Required
Please indicate the room numbers where the phone line is being moved to and from. Confirm whether there is a telephone jack to support a new line, if not please submit a work order for an electrician to do the wiring. This work is to be done prior to placing the telephone request. If the telephone request is placed prior to the wiring, your department will be charged a service charge for the visit. Indicate the name of the user. If you are moving phone lines from one billing to another, please indicate both billing numbers.