Access Service Request

Please fill out the information below. A ticket number will be generated after you submit the request.
NOTE: All fields are required.

Requester Information

First Name:

Last Name:

Title:

Phone:

ex. 123-456-7000 ext. 4100

Email Address:

Request

Service Type:

New

Change

Repair

Deactivate

Agency:

Building Location:

Room Location:

ex. Rm 152, entrance, outside NW corner

Detailed Description:

Emergencies should be reported to Central Monitoring by phone at (785) 296-1818.
For new/change/deactivate requests, you will be contacted within 48 business hours.
For repair requests, you will be contacted within 4 business hours.