Telecommunications a division of Information Technologies

Long Distance Authorization Form

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In order to place a long distance call, you must have a special authorization code. You can request an authorization code on this web-form.

Remember: when an individual leaves the University or moves to a new department, their old authorization code must be canceled and a new code established.

Requester Information

Please provide us with information on the person who requires the authorization code.

First Name *

Last Name *

Phone *

Department

Account Information

Please provide us with your PeopleSoft account information.

Business Unit *

Department Code *

PeopleSoft Account *

Class

Fund

Program

Project

Additional information

Please provide us with the information we need to give out an authorization code.

Do you require international access on this line?

Are you replacing someone at this phone?

If yes, what is their name?

Have they left the University?

Do you wish to remove the old authcode?

Contact Information

Please provide us with your contact information.

First Name *

Last Name *

Email *

Phone *

Verification

For verification purposes, please enter the following.

Chairperson's Name *

Chairperson's Phone Number *

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Long Distance Authorization Form

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