Cellular Workorder Request
Telecommunication Services
7000 Fannin, Suite 1115
Houston, Texas 77030
Trish Moore (713) 500-2261


Type of service required: New Service
Transfer Service
Cancel Service
Block/Unblock Service

 
Departmental Contact Person:
Department:
Contact Phone Number:

 
User Name (First & Last):

Employee ID:

Cellular Number:

Cellular Provider:
AT&T (formerly Cingular)
Verizon Wireless (formerly GTE)
Other Cellular Provider

        Enter Carrier

 
FMS Requisition or PO Number: 

Comments:
(If grant funded, type in "GRANT")


NOTE:  Print a copy for your file BEFORE you click the submit button.
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