Borrow a Phone Form

Telecommunications Department

Student Borrow-A-Phone Form

Work orders are usually completed within two business days after request receipt, 8 am - 4:30 pm, Monday-Friday.

Contact Information
Your Name:	Your 4 digit Campus Extension:	Your Email Address:
*	*	*
Building:	Room:	Banner ID:
*	*	*
Date Borrowed

Phone Delivery:	If delivery requested, list your available times:

Phones can be picked up at Allen 106B next to Drake Library.
Terms and Conditions:
Phones borrowed are the property of the College at Brockport and must be returned to Telecommunications at the end of the semester/year or a dorm damage fee will be added to your account. By clicking the check box you are agreeing to the terms and conditions. We will send you a reminder email before the end of the school year if the phone has not been returned. I agree to the above conditions

Additional Information and Comments:

If you would like a copy of this request for your records, please print this page before you submit the form. Use the print button below.

* Required Information: This form can not be submitted without the required information