Avaya Administration Support Request Form for ReliaTel & STEPAR

Add or Update Avaya Entity Information

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:

Add Entity

Modify Entity

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 Avaya Entity Details: (Required for New Avaya Entities only)

* Avaya PBX or Device Type:

Note: Product ID is the 10 digit ID listed in the Product Identification Field of the Maintenance-Related System Parameter Screen.

* Product ID:

2nd Product ID: (if required)

* INADS Number:

* Number of Ports:

PPP / RAS User Name:

PPP / RAS 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:
If you need 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: