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Pager Request Form

*Required

Department, Billing and Contact Information

Department Name: *
Department Number  
FRS Code: *
UConn Campus:  
Department Head's Name:  
Has the department head authorized this request? * Approval is required.  By indicating "yes", your department agrees to pay for all charges that pertain to this request.

Contact Information

Contact's Name: *
Contact's Telephone #: *
Contact's E-mail: *

User's Information

User's Name:
   First: Last:
User's E-Mail:  
Do you need the user's University voicemail box to outcall to this pager?   No
Yes (If yes, specify extension:  )

Type of Service

Glossary of Terms Price
Numeric Only Pager $6.65
Numeric w/Nationwide Coverage $22.45
Numeric w/24 hr Voicemail $10.45
Alpha Numeric Pager $8.95
Alpha Numeric w/Nationwide Coverage $33.30
Alpha Numeric w/Operator Dispatch $20.30
Alpha Numeric w/Nationwide and Operator Dispatch $44.70
Alpha Numeric w/Toll free # $20.40
Alpha Numeric w/Toll free # and Operator Dispatch $31.75
Alpha Numeric w/Nationwide, Toll free # and Operator Dispatch $56.15
Alpha Numeric w/24 hr Voicemail $12.45


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Updated: 9/28/2009