UNIVERSITY OF VIRGINIA
          FINANCIAL AND ADMINISTRATIVE PROCEDURES MANUAL



TITLE:  PREPARATION OF TELEPHONE SERVICE          PROCEDURE:  7-30
        REQUEST--EMBARQ   

                                                                    
        
Policy Reference:            VII.O.1

Form:                        University of Virginia Telephone
                             Service Request (CC-37)

Obtain Blank Forms From:     Communications Services, Carruthers
                             Hall (924-4148), or Communication
                             Services, McKim Hall (924-5963).

Forward Completed Forms To:  Communication Services, Carruthers
                             Hall

Purpose

This form is used ONLY to request new telephone service from
Embarq or changes to existing Embarq Service.

See also Procedure 7-31, "Preparation of Telephone Service Request-
IBM."


Instructions:

The numbered items on the sample form should be completed as
follows:

 1.   Enter requestor's name and date of the request.

 2.   Enter the requestor's department and messenger mail address.

 3.   Identify need by checking appropriate line; specify "other."

 4.   Specify the Embarq Special Bill Number associated with
      the line and/or equipment to be serviced.

 5.   Indicate the exact location of the service need.

 6.   Enter the name and telephone number of the contact person.

 7.   Briefly explain why the requested service is necessary.  If a 
      direct cost to Sponsored Programs is involved, ensure all    
      requirements are met.

 8.   Indicate the additional monthly charge and the
      installation/relocation charge, obtained from Embarq
      by dialing 800-786-6272 and speaking to a Customer Service
      Representative.

 9.   Enter the 11-digit account code to be charged or credited and 
      the date service is required.

10.   Sign the funds availability certification.


                                                                   
ISSUED BY:                                                 09/15/87

Manager of 
Communication Services        7.30.2