TENNESSEE STATE UNIVERSITY
TSU TELECOMMUNICATIONS WORK ORDER REQUEST
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Requester: Date:
(Please print name)
Department: FOAP #:
Signature: Building
Contact Phone: Room:
Type of Service Requested (Mark all that apply)
( Add Phone line ( Add Phone (DLT/SLT) ( Add Voice Mail ( Request Cellular Radio
( Move Phone Line ( Replace Phone (DLT/SLT) ( Reset Voice Mail ( Request Radio Upgrade
( Delete Phone Line ( Remove Phone ( Delete Voice Mail ( Repair Cellular Radio
( Repair Phone Line ( Repair Phone ( Voice Mail Problem ( Cancel Cellular Radio
( Other
Information Necessary for Service:
Notice: All Jacks Must be Accessible at Time of Service. Technicians will not move furnishings!
Current Location New Location
Jack Number: Jack Number:
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Building: Room Number: Building: Room Number:
[pic]
Phone Number: Phone Number:
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Name: Name:
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ESTIMATE ACTUAL
To Receive Estimate Send to Telecommunications Prior to Approval
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Labor (Hrs): Labor (Hrs):
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Labor ($): Labor ($):
[pic]
Equipment: Equipment:
[pic]
Outside Charges: Outside Charges:
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Telecommunications Mgr: Date:
Work Order Number:
Completed by: __________ Date: _____________
Signature: __________________________ Date: ____________
Dean/Department Head
Approval: __________________________ Date: ____________
Vice President
Approval: __________________________ Date: ____________
CSUC
This form should be mailed to: Telecommunications, PO Box 9560 or Faxed to: 963-2187. Inquiries should be directed to 963-7611 for
Timely response and proper handling. Incomplete or inaccurate forms may cause delays in service.
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