Phone Repair/Change Request Form


Name
E-mail Address
Phone number
Building
If you are having problems with your phone and/or jack,please complete the following:
Jack Type
Port number
Phone type
Do you need to change the function of a button on your phone?
Please fill out the boxes for the buttons you need changed. The first number is the buttons on the left and the second
number is for the buttons on the right. If you have only one column, the numbers on the right apply to your buttons. The phone picture shows the corresponding button numbers. Here is an example of what would go in the box for button 0:
Button Number: Change button to:
15
14
13
12
11
10
09
08
Button Number: Change button to:
7
6
5
4
3
2
1
0

 


Phone Button Numbers
Description of Problem:
Include: How long the problem has existed
and is the problem getting worse?
   

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