Requestor Information:

 

Full Name	(Last, First, Middle Initial)
Southeast Key Address	(include @semo.edu)
Residence Hall
Room Number
Room Phone Extension
Report trouble on the following: (You can check more than one if necessary. Telephone connection (no dial tone or can't make or receive phone calls) Cable TV connection LAN (Local Area Network) Computer connection Caller ID problem Audix Voice Mail problem Let us know if you are moving:  Move Caller ID to another Room or Residence Hall Residence Hall you are moving to: Floor/Room you are moving to:      Telephone Extension moving to:      Move private phone line - IN TOWERS COMPLEX OR GROUP HOUSING only. Residence Hall you are moving your private line to: Floor and Room number you are moving to: Long Distance Capabilities Yes     No If Yes and you don't have an Authorization Code, click here to sign up for long distance: Long Distance Contract Please provide further description of the problem(s) you are experiencing: For verification of the work that is requested, please provide us with your Student Identification Number here: