Local Service Request

Your request will not be processed unless information is entered into each required field.

Note: The area code is required for each entered telephone number, but that the "1-" prefix is not. All telephone numbers must be numeric. Anything other than numeric (for example: letters, special characters, etc.) will not be accepted.

LSR Forms

(select the type of service and simple port options below to initialize the form)

Type of Service (ServiceCenter) *

To Gaining LSP:

Important Warning for ADL (AT&T Digital Link) SPID 7421 customer's ONLY. If the Customer has DIDs (Direct Inward Dial) provisioned on the AT&T SDN (Software Defined Network) as On-Net: No changes should be made to the Long Distance ARS (Automatic Route Selection) pattern associated with the SDN (Software Defined Network) Features without an order request to the customer's AT&T Account Team.

Simple Port *

a) Does not involve unbundled network elements; b) it is an existing local account only for a single line; c) does not include complex switch translations (e.g., Centrex, ISDN, AIN services, remote call forwarding, or multiple services on the loop); and d) does not involve resold services.

Administrative Information

Refer to the Form Instructions page for detailed information on how to complete the form.

No Yes
Service Center 7125 requires a 4 day lead time. Any request submitted after 3:00 PM MT with a DDD of three days or less in the future must be expedited. To submit an expedited request, you must select Y in the EXP field, and enter Expedite Remarks.
Optional for Service Center 7421 Only

CHC                               DDD-Time

DFDT Time

Yes

Contact Section

Customer Location and Access

Service Details Section

All Ported Numbers must be Local Routing Numbers (NPT=D). For Service Center 7125, the Ten Digit Trigger (TDT) will be activated. For more information, click on Help.
Print

Click the Print button prior to Submit if you want to keep a copy of your completed form.

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