Long Distance Code Request Form

Long Distance Code Request Form

Please complete the form below and click Submit Form. Upon submission, the form will be reviewed and then forwarded to the appropriate dean or supervisor for confirmation.

* Indicates a required field

Employee's Telephone Number *:

*Is the supervisor of the individual identified above aware that he/she is requesting a long distance code?

Please note: If you indicated "No", the form cannot be processed. Please contact the appropriate supervisor.

Budget Account Number*:

Please note: This code will only be given to the identified employee. It will be his/her responsibility to keep this code in a secure place. This code is unique to each individual and should not to be shared. All long distance charges incurred are the responsibility of the owner of the assigned code.

Please allow 5-10 business days for processing. For an update on the status of your request, contact the ICT Help Desk at (817) 531-4428.

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