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? -No Notification-IM & ConferenceIM Notification OnlyConference Only Campus (required) —Please choose an option—ARCCRCDavis CenterDOEl Dorado CenterElk Grove CenterEthan Way CenterFacilities ManagementFLCMather CenterMcClellan CenterNatomas CenterRancho Cordova CenterSCCW. Sac CenterWinn Center Building and Room Building/Dept (required): Room/Area (if available): Jack ID (if available): Extension / Line (required) Is this a New or Existing Line? —Please choose an option—NewExisting Select your Device (upon supervisor approval) 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) —Please choose an option—NoneNot sureOnly numbers local to our campus/location (5)Northern California (4)All of California (3)National - outside of CA (2)International (1) Does this line require voicemail? (required) —Please choose an option—YesNo Do you delegate your calls to others? (others answer calls on your behalf) No Delegate Information: Name: W-ID (optional): Extension: Name: W-ID (optional): Extension: Name: W-ID (optional): Extension: Name: W-ID (optional): Extension: Do you answer calls for other people e.g. your manager?No List Names and Extensions in each field: Name: W-ID: Extension: Name: W-ID: Extension: Name: W-ID: Extension: Name: W-ID: Extension: Do you answer calls for a main line or department number?No List the number(s): Do you have a private line? (If you're not sure then you don't have one) No Private Number: Do you want someone to follow-up with you regarding this request?No Your Name Your Email Your Extension Step 1: Step 2: Register for the Lync Training Class