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VEXUS FIBER - LOCAL SERVICE REQUEST
ADMINISTRATIVE SECTION
TODAY'S DATE
*
+
CCNA
*
PON
*
VER
*
00
01
02
03
04
05
06
07
08
09
10
LOCQTY
HTQTY
DDD
*
🛈
+
DFDT
CHC
NNSP
*
CC
*
REQTYP
*
ACT
*
SUP
01 - Cancel
02 - Change Due Date Only
03 - Other
SUP - Other
*
🛈
EXP
No
Yes
AUTH NAME
*
AGAUTH
*
No
Yes
DATE LOA SIGNED
*
+
RPON
RORD
LSO
TOS
*
SPEC
NC
AN
*
NNSP
*
BILL AND CONTACT SECTIONS
BL1
BAN1
*
BILLNUM
FULL STREET ADDRESS
CITY
STATE
*
LOUISIANA
MISSISSIPPI
TEXAS
ZIPCODE
*
INIT
*
TEL-NO
*
EMAIL
FAX NO
*
REMARKS
END USER INFORMATION
LOCATION AND ACCESS
LOCNUM
NAME
*
TELNO
*
FULL STREET ADDRESS
*
CITY
*
STATE
*
LOUISIANA
MISSISSIPPI
TEXAS
ZIPCODE
*
NUMBER PORTABILITY
SERVICE DETAILS
LOCNUM
LNUM
LNA
NPT
TDT
LRN
Amount of Numbers Being Ported
*
Less than 10
More than 10
Type in Each TN Here
+
-
List all TN's and/or ranges here.
*
Porting Company
*
Email Address for Response
*
🛈
LSR’s are processed in the order received and responded to within 48 hours.