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The form is used to request local telephone service installations, removals, or modifications within the Department of Defense.
All unofficial military telephone subscribers must read and sign a consent statement regarding the publication of their home telephone numbers.
Requests can include installation, removal, moving of main line or local telephone services, extensions, WATS lines, and other specific services.
The form requires a signature from a validating official to ensure that requests are authorized before processing.
Users must provide both present and proposed locations for equipment along with directory listings for accurate processing.
The form includes sections for detailing monthly charges and nonrecurring charges associated with the requested services.
The form indicates that previous editions are obsolete, ensuring users utilize the most current version for their requests.