Phone Service Form

Office of Information Technologies - UMass Amherst

Telecommunication Services

Phone Service Form

12-Oct-08, 03:20 PM

Main Forms Area

Use this form to install new service, deinstall an existing service, move a service, suspend/unsuspend a service or upgrade/downgrade a service. This includes telephones, analog lines, ethernet connections, private LANs, and special circuits. Only one speed type can be used per form!

Click here for rate infomation.

1.	Please select your department from the menu. Your name, phone number, and the date will appear automatically on the printable page.

2.	Form of Payment:

	a. One-Time Charges:
	6-Digit Speed Type:
	5-Digit Fund ID:
	Business Unit:
	Project/Grant Account Number:	(if applicable)
	Project/Grant Expiration Date:
	b. Recurring Monthly Charges:
	Same as above?	Yes No
	6 Digit Speed Type Number:
	5-Digit Fund ID:
	Business Unit:
	Project/Grant Account Number:	(if applicable)
	Project/Grant Expiration Date:

3.	Jacks (install only):
	Number of new jacks to install:

4.	Ethernets:
ACTIVATE Number of Ethernets or Number of private LAN's

DEACTIVATE Number of Ethernets or Number of private LAN's

5.	Phones:
INSTALLS Number of Phones or Analog Lines

DEINSTALLS Number of Phones or Analog Lines

MOVES Number of Phones or Analog Lines

SUSPEND/UNSUSPEND Number of Phones or Analog Lines

UPGRADE/DOWNGRADE Number of Phones or Analog Lines


NEW FEATURES ON AN EXISTING LINE Number of Phones



	For ADN please call Customer Service at 545-2171

Contact Information

Please ask for a Telecom Customer Service Representative

545-2171
phoneservice@oit.umass.edu


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