Telephone Office Repair Form
* Denotes Required Information
* Select a School Make a Selection Pomona CUC CGU Scripps CMC Mudd Pitzer Keck * Select a Customer Type Make a Selection Student Faculty Staff Visitor Unknown
* Requested By: * Contact Phone Number:
* Building and Room Number: Number Experiencing the Problem:
* E Mail Address: Attachments:
* Trouble Type Make a Selection Phone is Dead Display shows weird characters or is dead No Dial Tone I can call out but callers can not ring my phone Phone does not ring RST/Busy Signal Callers get someone else when they dial my number Static Phone Problem (Other) Circuit Problem (Other) Voice Mail Administrative Billing Question Not Sure Other * Phone Type or Circuit Type Make a Selection Single Line Phone 2 Line Phone Dterm Series III Dterm Series E Dterm Series i Fax Machine Meal Card Reader Credit Card Reader Lanstar/Barrington Fire/Intrusion Alarm Emergency Phone Elevator Phone Payphone Modem ISDN Dry Pair Do Not Know
* Repair Requested: (Must be 510 characters or less) Character Count:
