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CABLE WORK ORDER

**All information must be completed in order to fulfill request.

Resident Name:

Building Name:

Room Number

Phone Number

Other Phone

Best times for Cable Technician to do work (Please note that response times vary from 24 hours to 3-4 days, enter dates and times for which you are available for at least 3 days.) Note: Services are rendered between the hours of 8 am - 5 pm daily, except 12-1 pm.

(Monday)

(Tuesday)

(Wednesday)

(Thursday)

(Friday)

Check the corresponding box for all the problems that apply below...

Television has no channels (i.e., no picture)
Television has bad reception (i.e.,fuzzy, snowy channels)
Television receives a limited number of channels
Television has been checked from another room outlet
Television cable-ready. Channels are auto-programmed

Other, explain:

Download a Adobe Acrobat Reader (pdf) version of the Cable Work Order Form if you would prefer. Print the form off the computer and fill it out. Submit the work order to the Office of Residence Life, located in Gordon Commons Building B, between 8:00 a.m. and 5:00 p.m.