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Users who have difficulty completing this online form can call the Technology Help Desk at 412 624-HELP [4357] for assistance 24 hours daily, seven days per week.
Requestor Information (required)
Requestor Username 
Fill in "Username" or "Last Name",
then press ENTER (not TAB) to
auto-complete the requestor information.
Requestor Last Name
Requestor First Name
Requestor Phone
Requestor Email 
End User Information
End User Username 
Fill in "Username" or "Last Name",
then press ENTER (not TAB) to
auto-complete the end user information.
End User Last Name
End User First Name
End User Phone
End User Email 
Site Information (location of work being ordered)
Room #
Building Name
ConfirmationPending
Address
City
State, ZIP
Telephone
Data 
Billing Information (required)
Video
Other 
Supply a UPMC Cost Center number or
a Pitt PRISM installation charge
account number.
UPMC Cost Center 
or
Pitt Installation Account # 
xx.xxxxx.xxxx.xxxxx.xxxxxx.xxxxx.xxxxx
               |
Sub Code Purpose
________________________________

Default = 6601
Telephone = 660X 
Data Ports = 8500
Data Port Non Rec = 6655 
________________________________
Sub Code Purpose
               |          
xx.xxxxx.xxxx.xxxxx.xxxxxx.xxxxx.xxxxx
Supply a Pitt PRISM recurring charges
account number.
Pitt Recurring Account # 
Services or Work to be Completed:
Please click one of the buttons below to select a category,
then check one or more services from that category.
PBX Analog Single Line Phone
Data Port
Verizon - ISDN BRI Line
Account Change
PBX Digital Multiline Phone
Wireless Data Service
Verizon - ISDN PRI Line
Billing Inquiry
Special T1 pt to pt
Centrex Single Line Phone
Cellular Phone
Special DS3 pt to pt
Centrex Multiline Phone
Calling Card
Special Fiber pt to pt
Voicemail
Toll Free 800 Number
Emergency Phone
Special React Alarm Circuit
Conference Calling Service
Conference Room Phone
Off Campus Business Line
Software 
Brief Description of Work Requested
Include any known phone numbers or quantities involved with this order,  (Ex. Change to existing extension, cellular or 800 numbers)
Description
Client services not available.
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