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If you rely on the AUTOFILL/SAVED INFO ("cookies") feature on this form, please note that you will need to reselect from the dropdown fields each time. HINT:  By typing the first letter of a drop-down list, the selection will "jump" to that area of the list!

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Required Required!
Contact Information
To be filled out by the person in the department who will coordinate completion of the order

Contact Name: Required Field!Access Help Files  

38.107.191.114

Contact Phone: Required Field!Access Help Files
Contact E-mail: Required Field!Access Help Files
Contact Rm:   Required Field!   NOTE: Enter multiple email addresses by separating them with a comma (,)
Contact Bldg/Location:Required Field! note icon

 

Choose from List (If NOT LISTED, BE SURE to type in below!) :  
  
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Department Billing Contact Information
The Department Budget Representative from the Authorized Budget Signature List in OMNI
Department Name:Required Field! note icon

 

Choose from List (If NOT LISTED, BE SURE to type in below!) :  
     
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Budget Authorized Signature/Manager Name:
Required Field! Access Help Files  
Budget Manager Phone #:
Required Field!
 
Budget Mgr E-Mail Address:Access Help Files
Required Field!  
 
Budget (OMNI) Information
NOTES REGARDING SUBMITTED BUDGET NUMBERS:
*

The "Official" Budget Manager, as pulled from FSU's OMNI System, will be informed via email of this order.

*

One-Time (non-recurring) charges will appear on the charge detail of the phone line for the above mentioned Budget Manager.

ALL CHARGES Required Field!
(Monthly & 1-Time)
OPTIONAL
1-Time Charges
1
 Dept ID

Fund Code

Project*
(6 digits)  (3 digits) *If N/A, leave 9 ZEROs;
all others enter 6-digits
(NO construction here)
Optional
Chartfields
Access Help Files
1.
2.
3.
Chartfields can ONLY be applied to monthly (recurring), NOT 1-time (non-recurring) or construction charges.
1 If Fund Code begins with "5" (Sponsored Research), a 6-digit Project must be entered (type over zeros).

Complete this side ONLY if Budget (OMNI) information differs from left side OR if order is for construction*

*CONSTRUCTION PROJECTS:
If order is construction, complete LEFT side with
NON-CONSTRUCTION budget number AND
ALSO enter construction budget below.

Dept ID
(6 digits)
Fund Code
(3 digits)
Project (if applicable)
*If N/A, enter 9 ZEROs;
9 digits for Construction;
all others enter 6-digits
Service Information
This section pertains to services you requested
Service Building Address: Required Field! Access Help Files 

 

Choose from List (If NOT LISTED, BE SURE to type in below!) :  
     
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Required Field!Service Rm Number:  
Please check all services that apply
Be sure to include the details in the "Details of Work" box below!
VOICE SERVICES
Basic Telephone Service/
Custom Calling Features
Instruments/Equipment
Long Distance Options
800 Number
Calling Card
Class of Service
Dialing abilities (29)
Auth Code Change
Voice Mail
Reset Voice Mail Passcode (only)
Meet-Me Conference (Up to 30 participants)
Cellular/Mobile SERVICE (Plans for cellular, PDA's, connection cards, pagers, radios)
Cellular/Mobile EQUIPMENT (Accessories/Equipment for cellular, PDA's, connection cards, pagers, radios)
VIDEO SERVICES
Cable TV Service (Seminole CableVision)
Video Conference/Room & Polycom Rental
DATA SERVICES
Networking Setup/Configuration
High Speed Internet Access (off-campus)
FSU@Home (DSL)
Cable Internet
BUILDING ACCESS/SECURITY
Access (Card), CCTV, Alarms & Monitoring
BILLING & INFORMATION UPDATES
Budget Changes
Name, Location, Chart Field Changes
MISCELLANEOUS OPTIONS (APPLIES TO ALL ABOVE)
WIRING REQUIRED
Check if ANY part of this order requires installation or relocation of phone, computer or cable jack/outlet, alarm/card reader, etc.
TO CANCEL/DISCONNECT SERVICES
Access Help Files Check service box above & explain under "Details of Work" below, including disconnect date.
ESTIMATE ONLY
Check if an estimate is required BEFORE processing order
TO VOID AN ENTIRE ORDER
Access Help Files Email help@otc.fsu.edu & provide TSR Order Number
DETAILS OF WORK Required Field!
(Please try to be as specific as possible) 
** If special due date needed other than the 10-business-day standard turnaround, explain here **
Required Field!SECURITY QUESTION:
What is 2+2?


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Access Help Files 
What happens after I place my Order?
costbutton Additional Order Charges

For questions, comments or technical difficulties on this form, email help@otc.fsu.edu