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Move, Add, Change (MAC) Form

  In compliance with OSHA and the University's policy on asbestos, any orders that involve cutting or drilling into a surface may result in a delay of up to two weeks while the material is being tested for asbestos.

Questions regarding this policy can be directed to Risk Management.
 
This form is for moves, disconnects and new service, not for broken phones or other malfunctioning equipment. To report a problem with your service, please call the Solution Center at 523-1511.

Please provide information for all boxes that have an asterisk.

Manager*: Dept.Name*:
Agency*: Org*:    SubOrg:
FirstName*: Last Name*:
Email*:
Building #*: Room*:
Building*:
Box #: Phone #:
Telephone Ethernet Voicemail
Pager Calling Card
Headsets 800 PPP  
 
Select the checkbox below if the order is for a new computer or the computer has been moved to a new building. Only select this option if you checked ethernet above.
 
Network Install
 
Work Requested:
 
Hall Directors: If this request is on behalf of a student, please include the student's name in the work requested box.
 
 
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