Telephone or Computer Service Request

To meet your deadline you must submit this form ASAP.

NOTE: You must submit the Netware/Groupwise Account request online form for netware and email access.

Date Needed By:
Contact Name:
Contact Email:
Contact Telephone:
User Name:
User Email:
Mail Stop:
Current Department: Don't Abbreviate
New Department: Don't Abbreviate
Telephone Service
Telephone Number(s)
Type of Service(s)	Add Change Move Purchase Repair Estimate
Telephone From Jack Number:
Telephone From Building/Room:
Telephone To Jack Number:
Telephone To Building/Room:
Computer Service
Computer Tag Number
Type of Service(s)	Move Purchase Repair Estimate
Computer From Jack Number:
Computer From Building/Room:
Computer To Jack Number:
Computer To Building/Room:

Describe work to be done:

Supporting the computing and telecommunication needs for Central Washington University
Last reviewed 3/13/03