CNS - Telecommunications Service Request

Complete all information with * and scroll to bottom to Submit Request     If you have any questions, please call us at 273-1234


Link to Telecom Home Page

Contact Information:

Department Name:*

First Name:*

Last Name:*

Building/Room #:*

Example: 0429/123

Email:*

Telephone:*

Example: 273-1234

Fax:

 

 

CNS Customer Number:

This is your 8 digit CNS Customer Number


Billing Information:*

Provide Purchase Order Information:

 

 

Business Unit–PO#.Line Number.Schedule.Distribution (no spaces)

               (For Example:  1430–25.1.1.1)

 

   Installation and Repair (722120)

   Line Service Recurring Charges(722100)

 

   Long Distance Charges(722150)

   Other

 


Service Request:*

Please select from the following, check all that apply:
Provide description of work requested in the spaces below.

Repair Work Order

Install Work Order

Other Services

Account Services

Repair/Trouble with Phone
Reset Voice Mail
Other Problem

 Move, Add, Change Phone
 Add Voice Mail

 Phone Features / Setup

 Cable / Data Drop Install
 Estimate Only

Long Distance
Calling Card
Disconnect Service
Other Service

Update PO Information
Other Account Services

 


Description of work to be done:*
Provide a brief description of the work requested or trouble.
For Repair Requests, if available, provide telephone number, location and type of telephone needing service.

Work location: *
(Building and Room where the work is to be performed.)

Request date of completion:

/ /

SPECIAL NOTICES:

1.    For additional information please visit our site at http://www.cns.ufl.edu/telecom

2.    If your account is more than 60 days past due, service requests will be delayed until payment is received.

 


 I understand that there will be a minimum $100.00 charge for Installations and Repairs if a technician's services are required.


This page is maintained by: Telenet HelpVer: 4.3 Date: 19 December, 2007