Faculty/Staff CIT Telephone Services Request Form
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Please complete this form to add, move, or delete any of the telephone services listed below.

Caution: Do not use this form to report a service problem. Click here to report a problem.

*indicates a required item.

Person Placing Request:
Name:
 Geneseo Email:*
@geneseo.edu 		Phone No:*
Department:*
 Account No:*

Person Using the Service: (phone, voicemail, etc)
I am also the person using the service.
The service user is: If this option is selected, email address below is required
Name:
 Email:*
@geneseo.edu

Authorization for Request:
I am the Director/Chair for this account and I approve this order.
Send a copy of this order to the Director/Chair below: If this option is selected, email address below is required
Name:
 Email:*
@geneseo.edu


Service Location:
Building:*
 Room No:*
 Phone No. (if known)


Telephone Service(s):*
At least one must be selected. Please check all that apply.

New Phone Line
Please provide additional details in the Description Field.

 Personal Billing Number (PBN)
Confidential number required to make long distance off-campus calls.

Move a Phone Line(s)
Please provide details such as where the phone line is currently located and where you would like moved to in the Description Field.

 Conference Phone
Please provide date and time of conference, and if you require instructions on how to use the conference phone, in the Description Field.

Phone Equipment/Accessories
Please indicate the type of equipment needed, such a longer line cord, headset, etc. in the Description Field.

 Voice Mail
Delete a Phone Line
 Other
Please provide detail in the Description Field.


Please describe the needed services: