Wholesale: Products & Services

Submission Information

* Date Submitted:	* CLEC:
* Initiator Name:	* Telephone Number: (enter as 2065551212)
* E-mail:	* Service Manager:

Scope of Change

* Identify the Scope of the Requested Change:
Documented Existing Process
Undocumented Existing Process
Gap or Missing Information in Existing Process
Clarification of Existing Process

Previous Steps Taken to Resolve

(One of the following is required)

Repair Ticket Number:	LSR ID:
Escalation Ticket Number:	Service Manager Contacted:

Impacted Documentation

* Level of CLEC Impact Minor Moderate Major
* Identify All Impacted Documents: PCAT Business Procedures LSOG Other	If other, please specify: (MCC, Manual Process and Technical Publications.)
List Names of Impacted Documents: Name of the document as found on the Wholesale Web Site (e.g. Unbundled Local Loop - V 3.0)
List URL of Impacted Documents:
* Detailed Description of Change:
* Description of How Change Impacted CLEC:
Proposed Solution: