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Spacer New Network Service Activation Request Form Spacer
 
 

(Faculty and Staff only)

To submit a request for activation of network service, please provide the information requested below. Your department's budget administrator's approval is required before filling out this form. Based on the information provided in this form, a case ticket will be generated to address your request, and you will receive an email confirming the case ticket. Please allow five business days for your request to be completed.

BGSU ID
First and Last Name
Full Valid BGSU Email Address (e.g. jsmith@bgsu.edu)
Phone number (for contact purposes)
Department
DCC or Grant/Project ID Number for Installation Service Charges
Service Information
Building
Room Number
Is there a data jack in this location?
Wall Location for Jack
How many network devices do you need to connect in this location?
Enter any special instructions or information concerning this request here:
 
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