OREGON STATE UNIVERSITY
TELECOMMUNICATIONS
REQUEST FOR TELEPHONE CHANGE
Mail one (1) copy to: Telecommunications Services
KAd A010
Customer Service 3-3440
Date
Department
Telephone Coord.
Coordinator Ext.
FIS Index Number for Installation or One Time Charges
Brief Description of Request (please include building name and room numbers; include a map showing all
additions and moves):
(Note: For Staff Directory changes E-mail Patty Zetzman at patty.zetzman@oregonstate.edu or call 7-7878.)
Requested Completion Date: Work sooner if possible? Yes / No
Authorized Signature:
Telecommunication Services 3-06