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FTS2001 800 Service Request Form

Contains the Obligation Statement by NOAA Budget Official


Order 800 service for:

1:

2: Order Type:

3a: 800 (change or disconect orders only)

3b: 800 Coordinated conversion?

4: Service

5: Identify the Primary User of the Service (the person who will be responsible for the use of the service; i.e.,Telecommunications manager, IRM manager, or actual user):

Please supply complete CBS

6a: telephone number the 800 service will route to:

6b: of phones 800 number will be routed to:

7: Published in WATS National 800 Directory? (indicate Yes if you want this 800 number published in the WATS National 800 Directory

8: Local Phone Service Information:


9: Local Government Contact (the local government contact who can verify that 800 service has been received):

10. Alternate Local Government Contact:

11. Monthly Minutes (estimate the total number of minutes of usage per month for this service): NOTE: If this order is a disconnect indicate anticipated decrease in monthly usage.

12. Pre-sale information:

of week busy hour occurs (e.g. Monday):

Expected busy hour and time

Number of call during busy hour:

Seasonal (month and attempts during busy hour, e.g. Nov - 850 calls ):

of increase during busy hour after 6 months and 12 months:

13.


STATEMENT OF OBLIGATION BY NOAA BUDGET OFFICIAL:

As the NOAA approving official authorized to expend funds for FTS2001 orders, I hereby

Authorized by:

NOAA Approving

Approving Officer's

Approving

Approving

Approving Address:

Press to your 800 Service Request

Press to clear the 800 Request Form for another order

Submission of this information is voluntary and will only be used for the stated purpose.

  Updated: March 9, 2006