Clinton Community College



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Request to Relocate Telephone and/or Computer Service for Employee

Please use this form to initiate a work order for assisting in the relocation of a telephone, computer, or printer. If at all possible, two weeks advance notice to the anticipated need would be appreciated!


Contact Name of Person Authorizing the Relocation: *


Extension of Contact Name: *


Employee Name: *


Employee Extension Number: *


Current Office Number: *


New Office Number: *


Scheduled Date of Move: *



Please check all that apply:

 Telephone

 Personal Computer

 Local Printer

 Network Printer

Please provide any additional information you would like us to know: