Telecommunications Work Request Form

For new work requests only. If you need to report a problem with your phone or phone line please call Customer Support at 8-7995.

NOTE: ALL FIELDS ARE REQUIRED

First name	Last name
Campus Address (Building and Room)	Requestor's Phone Number (Who we can call with questions)
Email (example: jdoe@kumc.edu)	Department
Department Account # (I.E. University billing # OB894###)
Location of where work is to be accomplished:
Building	Room Number
Description of work needed. Please provide as much detail as possible such as existing Jack ID#'s, phone features requested and phone numbers for each line to be worked on:
Provide a cost estimate for the above work? yes no
Contact information All voice and data work orders should be requested via e-mail to: telecom_workorder@kumc.edu; include your name and telephone number and a representative will contact you for details. Dave Schleztbaum, Equipment Planning Technician dschletzbaum@kumc.edu 913-588-4932 Dick Campbell, Equipment Planning Technician dcampbell@kumc.edu 913-588-4922 2003 Wahl Annex 3901 Rainbow Boulevard Kansas City, KS 66160-7171

Contact information