VoIP Extension Request Form
Submit this form to request a new VoIP phone extension. All information collected is strictly for VoIP extension provisioning.
Requester Full Name
*
First Name
Last Name
Requester Email Address
*
example@example.com
Requester Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Employee/User Full Name (for whom the extension is requested)
*
First Name
Last Name
Department or Location
*
Preferred Extension Number (leave blank for auto-assignment)
Device or Softphone Needed
*
Desk Phone
Softphone (PC/Mobile)
Both
Voicemail Required?
*
Yes
No
Caller ID Display Preference
*
Please Select
Show Extension Only
Show Name and Extension
Show Department
Call Forwarding Requirements (if any)
Submit Request
Should be Empty: