Voice Over Internet Protocol (VOIP)

Completion Instructions

Note: These instructions will lead you through the VoIP Order Request Form box by box. As you tab through this form you will note several are drop down select choice.

Box 1. Enter today’s date and the date requested for service to be operational. Enter Agency AU and Agency tracking Number.

Box 2. Identify agency, the coordinator in charge of the project, their address, phone and fax number. Include your e-mail address. The person identified in this box will receive all notifications about this order.

Box 3. The person signing in the box must have signature authority. This order request cannot be processed without a signature in this area. Don’t forget to fill in the date field in this box. Please print the name under the signature.

Box 4. CMS Telecom use only

Box 5. Enter the type of service being requested. VoIP would be the default choice. Tell us if agency is providing the Data Communications Equipment that will be used to terminate the service or if CMS needs to provide the equipment. If the request would need to be expedited (overtime work) in order to meet expected operational due date, please indicate by marking yes or no.

Box 6. Use this box for any additional comments or special instructions.

Box 7. The PRIMARY STATION box is used for describing where the circuit or service is located. Fill in the Site contact, site address, floor and room number, site hours, mark box if new building or remodeled and the site telephone number. If an outside move is being requested, list the existing station information in this section with the ‘move to’ address information in section #6.

Box 8. CMS Telecom use only

Box 9. VOIP Information as you tab through this box you will note several are drop down select choice. This information will be used to program the Call Manager and the Unity Voice Mail System. Please fill out as much information as you know in this box.

General Instructions

If there is a need for more then one page; use the same form and number the top right to match as many pages as needed.

In the upper right quadrant of pages 1 and 2, is a non-shaded double lined box. The file # refers to the circuit name under which CMS will file this order. If you are requesting service to be performed on an existing circuit, please fill in the circuit number in the space provided.

In an effort to streamline the order process, we have posted this VoIP Order Request form on the Telecom web page. The form is a WORD2000 template. It is a form. You are able to TAB from field to field.

We suggest that you download it, and save it to your hard drive. As you use this form, you will be able to save a copy of the order. The authorized telecommunications coordinator can transmit the order request electronically to us as an email attachment. Their email address will serve as their electronic signature.
We encourge you to periodically check the CMS Telecom web site for form or instruction updates.

Submission of order:

E-mail:
Prov_CMS@cms.state.il.us. Please place your agency control [tracking] number in the subject line of your e-mail transmittal of the order request.

Mailing Address:
CMS Communications Solution Center
Attn: Provisioning
120 West Jefferson St., 2nd Floor
Springfield, IL 62702-5103

FAX number: (217) 524-5895 (For emergency orders ONLY.)

Questions: contact the Communications Solution Center
800-366-8768 (in Centrex at (217) 524-4784