LRCCD Police Request Form

    Please fill out this form to best of your knowledge. This information will be used to configure your new phone.

    Name (required)

    W-ID (required)

    Email (required)

    Emergency Call Notification
    In the even of an outbound emergency call, does this user need to be notified via Lync Instant Message or Conferenced into the live call?

    Campus (required)

    Building and Room
    Building/Dept (required): Room/Area (if available): Jack ID (if available):

    Extension / Line (required)
    Is this a New or Existing Line?

    Select your Device (upon supervisor approval)
    Polycom CX600 Phone Plantronics C510-m Wired Headset Microsoft LX-6000 Wired Headset
    Polycom CX600 PhonePlantronics C510-m Wired HeadsetMicrosoft LX-6000 Wired Headset

    Does this Phone need the following? (additional cost may apply)
    Longer CableWall-mount Kit (open area)

    Class of Service - Which area can you currently dial? (required)

    Does this line require voicemail? (required)

    Do you delegate your calls to others? (others answer calls on your behalf) No

    Do you answer calls for other people e.g. your manager? No

    Do you answer calls for a main line or department number? No

    Do you have a private line? (If you're not sure then you don't have one) No

    Do you want someone to follow-up with you regarding this request? No

    Step 1:

    Step 2: Register for the Lync Training Class