RSME IT Hardware Request Form (1)

IT Telephony Request Form for HTS LAN

Use this form to request changes to telephony services including changing extension services, moving, swapping, and ceasing extensions. This form can also be used for requesting mobile handsets.

Please note that we are now unable to request new MOD extensions.

If you experience any issues with this form please contact the form creator, Service Support Desk Supervisor, on 01634 829944.

Disclaimer: Please do not submit any information on this form that is higher than OFFICIAL protective marking. By completing this form you consent to your personal data being used to record this case.

Requestor's Details

Full name (including rank or title)

Contact Number

E-mail Address

Post or role

Organisation

Organisation Other

Site

Site Other

Authoriser's Details

Authorisers Full Name (including rank or title)

Authorisers Post or role

Telephony Requirements

Telephony Requirement

For multiple lines, please list them in the additional information section below.

Telephone Number or Extension

Current Location (Building and room)

New Location (Building and room)

Swap with telephone number or extension

Dialing Requirements

Dialing Requirements Other

International Calls Justification

Voice Mail

NoYes

Type of Handset

PUID

Memorable Date

Additional Information

Supporting InformationYou can upload a maximum of 1 file, up to 4MB.

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IT Telephony Request Form for HTS LAN

Requestor's Details

Authoriser's Details

Telephony Requirements

Additional Information

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