Managing Global Business Through Technology

Administration Support Request Form
for ReliaTel & STEPAR

Add or Update ReliaTel Entity Information

For Avaya or Nortel Entities with SEBs, Please use the Avaya or Nortel with SEB specific Entity Administration Forms

Required fields are indicated with an *

TONE Licensee Information:
* TONE Licensee
Company Name
:
Company Address:
Company City:
Company State:    Company Zip:
Date of Request:
Primary Contact Name:
* Contact Email Address:
Contact Phone:
* Effective Date of Change:
Request Type:
* Request to:
Note: Allow up to 48 hours to add new entities.
Billing Location for New Entity:
(If different than above)
Standard Entity Information:
Note: Entity Names and Center Names are limited to 60 characters with no spaces.

* Entity Name:

Entity Address:
Entity City:
Entity State:    Entity Zip:
* Center Name:
New Entity Details:   * Required for New Entity Only - Please Provide all Relevant Information
PBX or Device Type: (Manufacturer)
PBX or Device Model:
Number of Ports: (If applicable)
Dotted IP Address: (For SNMP devices only)
RCD Connectivity Information:   (Required for New Entity only)
RCD Connectivity Device?
RCD Password?
Entity Alarm Notification Information:
User 1:
First and Last Name:
Notify via Email Address:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
Notify via Pager Number:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
Notify via Text Message to Cell:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
User 2:
First and Last Name:
Notify via Email Address:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
Notify via Pager Number:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
Notify via Text Message to Cell:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
User 3:
First and Last Name:
Notify via Email Address:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
Notify via Pager Number:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
Notify via Text Message to Cell:
Alarm Severity: Note: To select more than one level hold the Ctrl key while clicking
Days to be notified: Hours to be notified:
Dates to be notified:
Escalation Information:
Number of paging retries before escalating:
Minutes between each paging retry:
Escalation Sequence  
Notify First - First and Last Name:
Notify Second - First and Last Name:
Notify Third - First and Last Name:
To include additional names in your escalation sequence, or modify your escalation procedure beyond the scope of this form, please contact TONE Technical Support after submitting this form.
Special Requests or Instructions:
If applicable, please include any special requests or instructions here: