Service Request Form

OUHSC Information Technology Department

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Enterprise Connectivity Request Form

For immediate assistance with service disruptions during normal business hours, please call (405) 271-2203 or (888) 435-7486

Service Area:
Subcategory:	Access Control Management Departmental Firewall Management Departmental Switch Configuration & Management DNS Management Fiber Deployment Internet 2 IP Addressing & DHCP Management Local Area Network Connectivity National Lambda Rail Router Management Video Delivery Support VLAN & Network Segregation WAN Service for Clinics Wireless Area Network Connectivity Other
First Name:
Last Name:
Email:
Phone:
Attach PDF or Excel:
Attach PDF or Excel:
Attach PDF or Excel:
Short Description:
Watch List:
Requested:

If you would like for additional individuals to be added to this ticket, please enter their email addresses separated by commas (if more than one).