Central Washington University - Telecommunications: Long Distance Access Service Request Form

Computer Support Services (CSS)

To meet your deadline you must submit this form ASAP.

Note: This form must be submitted by someone with signing authority on the Project ID to be charged.

Requester Information
Date Needed By:
Contact Name:
Contact Email:
Contact Telephone:
User Information if other than contact
User Name:
User Email:
Telephone Number(s)
Mail Stop:
Current Department:
New Department:
Speed Type Number:
New Long Distance Access
To Add New Authorization Number or Scan Plus Card, Check Any That Apply:
Long distance calls will be made from:	Ellensburg Campus CWU phones only CWU and other state agencies - DIS code
Type of Service:	Domestic Only Domestic & International
Calling Card Service:	When in travel status - SCAN PLUS card
Type of Service:	Domestic Only Domestic & International
Change Existing Service
To Cancel or Change Existing Authorization Number or Scan Plus Card
Change to New Name:
Change to New Telephone Number:
Change to New Budget Number:
Change in Calling Service:
Change Auth Code To:	Domestic Only Domestic and International
Change Calling Card To:	Domestic Only Domestic and International
Cancel the Following:	Scan Authorization Number SCAN PLUS Calling Card (Return card to Telecommunications)
Effective Date of Cancellation:

Contact Information

Information Technology Services
400 E. University Way
Ellensburg, WA 98926
(509) 963-3425
email: phones@cwu.edu

Central Washington University

400 E. University Way, Ellensburg WA 98926

This Site Optimized For Newer Browsers.

Information Technology Services: Long Distance Access Service Request Form