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Telecommunication Relocation Request

Use this form for major telephone and data changes that generally involve contracting with a vendor and incur variable costs to the department, including the following:

  • Installing new voice/data jacks
  • Moving existing voice/data jacks
  • Relocating a department or division to a new building
  • Relocating voice and data jacks before and after an area renovation
  • Installing new telecommunications cable or wiring

A separate form must be submitted for each user or office location.

Complete all information with the * and click Submit at the bottom of the page.

Contact Information

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Current Service Location Information

(If different from Contact Information):

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Is the office locked?      

Is the office equiped with an alarm?      

If yes, contact information:


Target Relocation Information

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Is the office locked?    Yes    No

Is the office equiped with an alarm?    Yes    No

If yes, contact information:


Description of the work requested


Billing Information *  

In all cases, as estimate will be prepared and forwarded to the requesting department for approval.


Please provide all the following applicable information.

By submitting this request, I understand that all work charges will be billed to this reporting unit. Charges will not be billed to the reporting unit until the responsible department administrator approves the estimate of work. By submitting this request, the contact above verifies that fiscal approval to proceed with the estimate for this request has been granted by the appropriate administrator.

Contact the ITS Help Desk at 323-343-6170 if you have questions or need further information.


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