Georgia Technical Authority 
Rome District 
Request Form For Voice Mail Service
Work Order #
(to be completed by Information Technology)
New Service Change in Service Cancellation
User Name
Agency
Department
Mailbox Type 10 One-Minute Messages
20 Two-Minute Messages
30 Three-Minute Messages
User's Extension/
Mailbox Number
Attendant Extension
(Default #) 
(This is the number that will ring when a caller is forwarded to your mailbox and then presses "0" to go to the attendant (or receptionist) extension.)
Number of rings before call is forwarded to mailbox:
Do you want call to forward to mailbox if line is busy? Yes No
Telephone Set Type
If you have a digital pager, do you want to be notified via pager when you have a message? If so, enter pager number and check the correct box below.
Pager Type: (Bravo, PMR2000, Optex, etc.)
Pager Number
Notify pager for urgent messages only
Notify pager for all messages
Agency Account Number