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VoIP Telephone Move, Add, Change Request Form
Requestor Information
Requestor Name: ___________________________________ Date of Request: _______________
Employee Name: ____________________________________ Current Extension: _____________
District: _________________________________________________________________________
Building Location: __Elementary
__High School
__Other
Room Location: __________________________________________________________________
Extension:
__Move
__Add
__Change
Voice Mail:
__Move
__Add
__Change
Voice Mail Time of Day Setting: __Admin
__Teacher
__Other
Corporate Directory:
__Move
__Add
__Change
Serial No. of Item (if applicable): ______________________________________
MAC Address of Item: ______________________________________________
Phone Model: ____________________________________________________
M/A/C Details: (Please provide as much detail as possible regarding your request)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Classification
Priority:
__Low
__Medium
__High
Deadline for request completion: ______________________________
Does this user have any special needs, example do they get 911 notifications, pick up groups, etc.:
____________________________________________________________________________________