The FSU Office of Telecommunications || Departmental Order Form

If you DO NOT have an FSU OMNI NUMBER & need to receive an invoice, click HERE

To request repairs,
please use our
Online Repair Form

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!

Click

to clear all

= Required!

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

Contact Name: 38.103.63.16	Contact Phone:	Contact E-mail:
Contact Rm:		NOTE: Enter multiple email addresses by separating them with a comma (,)

Contact Bldg/Location:

	Choose from List (If NOT LISTED, BE SURE to type in below!) :
	OR Type in here:

Department Billing Contact Information
The Department Budget Representative from the Authorized Budget Signature List in OMNI

Department Name:

	Choose from List (If NOT LISTED, BE SURE to type in below!) :
	OR Type in here:

Budget Authorized Signature/Manager Name:	Budget Manager Phone #:
Budget Mgr E-Mail Address:

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
(Monthly & 1-Time)

optionAL
1-Time Charges

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