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Comptroller's Office
Department of Communication Services
Telephone Service Request Form
Telephone Service Request
1
Start
2
Request Details
3
Complete
Agency Name
*
Department/Bureau
*
Address
*
Authorized Official
*
Phone
*
Action Requested
*
New Service
Change
Move
Repair
Disconnect
Provide the line number to be worked on
*
Provide the number you wish to change to
*
Request Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2022
2023
2024
2025
2026
26 digit account number to be billed
*
Address where work is to be performed
*
Primary contact at above address
*
Phone
*
Leave this field blank
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