Fillable Phone Configuration Form - Division Of Technology & Communication (T&C) - CSU Channel Islands (California State University Channel Islands)

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Phone Configuration Form - Division Of Technology & Communication (T&C) - CSU Channel Islands (California State University Channel Islands)

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The Phone Configuration Form - Division Of Technology & Communication (T&C) - CSU Channel Islands (California State University Channel Islands) form is 2 pages long and contains:

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  • 10 check-boxes
  • 15 other fields

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File type: PDF

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TECHNOLOGY & COMMUNICATION
4-6-2015
Technology & Communication Phone Configuration Form
*Please submit completed form to Tara Hughes in Solano Hall*
Requestor:
Extension:
New Employee: ☐Yes ☐No Name on Display:
Start Date:
Location of Installation
Building: Room Number:
Type of Access: ☐ Campus Only ☐ Local/Long Distance
Type of Phone Chargeback Cost
☐Cisco IP Phone $400.00
☐Cisco IP Phone Replacement $300.00
☐Cisco IP Conference Phone $800.00
☐Expansion Module $275.00
☐Voicemail $40.00
☐Headset $155.00
☐Fax Line $170.00
☐New Phone Extension $17.00/month
Does user require access to other extensions? ☐ Yes ☐ No
If Yes, list extensions:
Account code:
TECHNOLOGY & COMMUNICATION
4-6-2015
Chargeback Amount ($):
Comments:
*Please confirm office availability for installation. Technicians do not have access to offices.
Print Name of Department Head/Budget Manager:
Signature of Department Head/Budget Manager: _____________________________________________________
*Department will be charged $17.00/month per phone line, plus additional long distance costs
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Phone Configuration Form - Division Of Technology & Communication (T&C) - CSU Channel Islands (California State University Channel Islands)

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Completed 20 July 2020

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