| Field Description |
Field Number |
Field Definition |
|
Requesting CLEC
|
|
Name of company requesting the Customer Service Information
|
|
Current Resp Org ID
|
|
|
|
Requestors Resp Org ID
|
|
|
|
Requestor Name
|
|
Who within the requesting company is placing this request and will serve as the company contact. This may be an individual, work team, or office
name, as appropriate.
|
|
Requestor Number
|
|
Requestor’s business contact number.
|
|
Fax Number
|
|
Requestor’s business fax number. Fax Number, Email Address, or both should be entered. If Fax is not an appropriate means of distributing
Customer Service Information place an N/A in this field.
|
|
Email
|
|
Requestor’s business email address. Email address, Fax Number, or both should be entered. If email is not an appropriate means of
distributing Customer Service Information place an N/A in this field.
|
|
Account Name
|
|
End User Account Name.
|
|
Billing Address
|
|
End User Service Location Address
|
|
Apt. or Suite Number
|
|
End User Service Location Apartment, Suite, Room #, etc
|
|
City
|
|
End User Service Location City
|
|
State
|
|
End User Service Location State
|
|
Zip Code
|
|
End User Service Location Zip
|
|
Contact Name
|
|
End User Contact Name
|
|
LOA On File
|
|
See Section IV B. of CLEC-to-CLEC and CLEC-to-ILEC migration guidelines.
|
|
WTN
|
|
Include all Toll free TN’s that will be converting and need to be included with the Customer Service Information.
|
|
Ring To Number
|
|
Include all Ring To Numbers that are associated to the Converting Toll Free Numbers converting.
|
|
Comments
|
|
Beginning and ending number range of DID's can be entered here. Any additional information that would be of assistance to Birch Telecom in
fulfilling the Customer Service Information should also be included.
|