Paging - Nationwide New / Change Service Form |
CMS-BCCS Customer Solution Center
Paging Services
Instructions: Complete all information pertinent to type of requested service.
Nationwide New/Change Service Form Instructions
Agency: Agency requesting service. Required
Control Number: The agency's internal record keeping number assigned by the Coordinator for tracking orders through the procurement process. Required
Coordinator's Name: The authorized Telecommunications Coordinator. Required
Coordinator's Telephone Number and Date: The authorized Coordinator's work phone number and the date the TSR is prepared. Required
AU No.: Accounting Unit Number of agency Required
Service Changes: Indicate appropriate action to be made from the options provided on the PSR Form.
User Information: Provide current user's name, pager telephone number, cap code, and serial number (if applicable). Note: Use the Paging Service Request Attachment Form for additional pagers
Paging Shipping Information:
If your agency is going to pick up or return a pager:
Select the appropriate box.
Provide contact name and telephone number.
If the vendor is to pick up or deliver the pager:
Select the appropriate box.
Provide a contact name and number.
Specify address where pager is to be shipped or where vendor may pick it up.
Submit Order to:
CMS-BCCS Customer Solution CenterProvisioning
120 West Jefferson - 2 nd Floor
Springfield , IL 62702
800-366-4784