Print form, fill out and return to Telecommunication Services via fax 713 500-2211 or Institution Mail HMB 12.188

 

Telecommunication Work Request Information Form

 

Listed below are details needed for a Telecommunication Work Request. Please fill in all blanks:

 

Department/Division to be Billed:

 

Contact Person:

 

Contact Number:

 

Desired Completion Date:

 

 

The Telecommunication Services technician’s and wiring contractor’s workloads are scheduled in advance based upon funded Purchase Order (“PO”).  For this reason, we recommend that you submit the MAC Work Request well in advanced of the desired completion date.

 

PO number for installation:

            Vendor Location FMAC” and Account “69523(for Technician labor & Cabling)

 

 

 

PO number for line & equipment:

            Vendor LocationFLE” and Account “67504(for monthly reoccurring fees)

 

 

Describe, in detail, the type of work being requested.  Include building location(s), room number(s), cable / wall jack number(s), if any.  Please specify if cabling is for network use.  Be sure to list any special instructions and fax this form to: Telecommunications Department at 713-500-2211.

Work Request Summary: