LSUHSC Network Wiring Request Form

Notice: This service is only available to LSUHSC PC Support Personnel. If you are a LSUHSC end user, please contact your PC support representative.

Instructions: Fill out the form below with as much information as possible, fields with required must be filled in, then click on the "Submit Request" button at the bottom of the form.

If you have any questions about your request, please contact David Frentz at 568-7176.

Thanks for using Auxiliary Enterprise's Network Wiring Services!

Network Wiring Request

PC Support Representative:

First Name:

Last Name:

LSUHSC Account Number:

or P.O. Number:

Type of Service: New Connections
Resolve problem with existing wiring

Department to be billed:

Contact Name:

Building where service is to be performed:

Room Number where service is to be performed:

Destination Room (please be very specific):

Please enter comments or questions below: