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Request for Telephone or Data Repair

If you are a RA for a Residence Hall, please use the Request for Residence Hall Telephone or Data Repair Form.

Authorization Information

In the following form, type in information for the Account Manager or Administrative Assistant Representative responsible for the service request. This information will be used for work order processing, billing, and to contact you if necessary.





Customer Information



Location




Customer Account Info

In the following sections, type in information about the account to be billed for the repair.

Billing Information