Nortels with SEBs Only Administration Support Request Form for ReliaTel & STEPAR

Add or Update Nortel Entities with SEBs Only

NOTE: To expedite processing of your request, please ensure all information provided is accurate. Please allow 24 hours for processing prior to SEB programming. SEB programming is performed Monday through Friday from 6 a.m. to 3 p.m. PT (except holidays), and will be confirmed via e-mail when completed. SEB unit must be reset prior to programming. See SEB Reset Procedures** below.

Required fields are indicated with an *

TONE Licensee Information:

* TONE Licensee
Company Name:

Company Address:

Company City:

Company State:

Company Zip:

Date of Request:

Primary Contact Name:

* Contact Email Address:

Contact Phone:

* Effective Date of Change:

Request Type:

* Request to:

Add Entity

Modify Entity

NOTE: Allow up to 48 hours to add new entities.

Billing Location for New Entity:
(If different than above)

Nortel Entity Information:

Note: Entity Names and Center Names are limited to 60 characters with no spaces.

* Nortel PBX Model:

* Entity Name:

Entity Address:

Entity City:

Entity State:

Entity Zip:

* Center Name:

* Number of Ports:

SEB Information:
** SEB Reset Procedures: Press the reset button 13 times. The CHK LED light will turn off each time the reset button is pressed, and it will stay off when the reset is complete. After the unit is programmed, the CHK LED light will once again turn on.
* SEB Phone Number:
* SEB Password:	(maximum 8 characters)
* Change SEB Password?	Yes No
* If YES, Enter New Password:	(maximum 8 characters)
SEB Serial Number:
* SEB Time Zone: (i.e. Eastern, Central, etc.)
* SEB Requires "9" to dial out:	Yes No
* SEB serial Port Number for Nortel PBX:
* SEB serial Port Comm Settings for Nortel PBX:

Entity Alarm Notification Information:
User 1:
First and Last Name:
Notify via Email Address:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:

Notify via Pager Number:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:

Notify via Text Message to Cell:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:
User 2:
First and Last Name:
Notify via Email Address:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:

Notify via Pager Number:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:

Notify via Text Message to Cell:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:
User 3:
First and Last Name:
Notify via Email Address:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:

Notify via Pager Number:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:

Notify via Text Message to Cell:
Alarm Severity:	Note: To select more than one level hold the Ctrl key while clicking
Days to be notified:		Hours to be notified:
Dates to be notified:

Escalation Information:
Number of paging retries before escalating:
Minutes between each paging retry:
Escalation Sequence
Notify First - First and Last Name:
Notify Second - First and Last Name:
Notify Third - First and Last Name:
If you need to include additional names in your escalation sequence or modify your escalation procedure beyond the scope of this form, please contact TONE Technical Support after submitting this form.
Special Requests or Instructions:
If applicable, please include any special requests or instructions here: