Network and Telephone Service Request Form
This form is for Network and Telecommunications issues.
Required Field
Please complete the entire form before you submit it.
First & Last Name:
First & Last Name of Recipient:
[ optional -- If the recipient is different than the requestor ]
Email Address:
@sunysuffolk.edu
Campus:
Ammerman
Central
East
West
Building:
Ammerman Building
Asharoken Hall
Auto Tech Building
Babylon Student Center
Brookhaven Gymnasium
Captree Commons
Caumsett Hall
Center Cottage
Central Energy Plant
Corchaug Building
Culinary Arts and Hospitality Center
Day Care Center
Guard Booth
Guard Booth W
Huntington Library
Islip Arts Building
Kreiling Hall
Maintenance Building
Multi-Purpose Building
Nesconset Building
Norman F. Lechtrecker Building
North Building
North Cottage
Orient Building
Paumanok Hall
Peconic Building
Plant Operations Building
Riverhead Technology Building
Sagtikos Arts & Science Center
Sally Ann Slacke Center
Sayville Downtown Center
Sewer Treatment Plant
Shinnecock Building
Smithtown Science Building
South Cottage
Southampton Building
Suffolk Kids Cottage
The Annex at Ammerman
The Annex at Grant
The Cottage
Woodlands Art Studio
Room:
Telephone Number for Contact:
Telephone Number Requiring Service:
[ optional -- only if phone or phone line must be serviced ]
Type of Equipment:
Desktop Equipment
Fax Machine
Laptop Equipment
Multiple Devices
Network Devices
Nextel
Other
Printer-Laser
Server
Telephone
Terminal
Wireless
Select Service Required:
Approved Upgrade of Telephone
Connections for New Staff
Mainframe Printer
Mainframe Terminal
Network Connection
Network Printer
Network Server
New Computer Installation
New/Additional Wiring for Telephone/Network
Other (Please enter service in Description Section)
Relocation of Staff/User
Repair Telephone
Telephone Service/Configuration Changes
Wireless Access
Network Type:
Administrative
Educational
None
Please describe the problem: