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Telecommunications Service Request

Items indicated with red > are required fields and must be entered prior to submitting the service request. Contact Telecommunications Services if you have any questions or need additional assistance at 719-549-2566.

Requested By
  > Name:
  > Telephone Number:   (Example: 719-549-2100 or 2100)
  > E-mail:
  > Department:
Requested For
  > Name:
  > Telephone Number: (Example: 719-549-2100, 2100, or "New" for new accounts)
  > Account Number:
Location of Service
  > Building:
  > Room Number:
Service(s) Requested
  > Type of Service Requested: (Check all that apply)
  Telephone Network Cabling
Provide a brief description of Services Requested
  > Narrative:

Fees for services:  
  • Move, add, change:
  • New cable drop phone/network jacks:
  • Hourly rate (when applicable):
*For standard drop. For non-standard drop charges for additional cable, conduit, parts and hourly rate may apply.