Service Request Forms

Phone Equipment/Line Request

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For Additional Line for Phone, Fax, or Modem

Initial instillation fee for digital/analog line is $200.00. Monthly charge per line is $18.00. Telephone equipment cost (replacement for lost, stolen, or broken) is as follows:

  • 9404 = $189.00
  • 9408 = $306.00

Location of New Line

Billing Information

Number of Remaining months ______X $18.00= (Please enter below)


By checking "yes", I acknowledge that I have received authorization from my supervisor to make this request and understand that a minimum fee of $200 will be assesed against the budget line provided above. If you have additional questions, please contact Phone Support at 210-832-3200 or