"Agency Contact Information Form" - Maryland

Agency Contact Information Form is a legal document that was released by the Maryland Department of Information Technology - a government authority operating within Maryland.

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STATE OF MARYLAND
DEPARTMENT OF INFORMATION TECHNOLOGY
TELECOMMUNICATIONS COORDINATOR
TELEPHONE #: 410-260-7778
Email: service.desk@maryland.gov
AGENCY CONTACT INFORMATION FORM
REQUEST TO:
ADD
CHANGE
DELETE
NAME OF CURRENT / NEW CONTACT:
LAST NAME:
FIRST NAME:
MID INI:
CLASSIFICATION / TITLE:
DEPT / AGY:
AGY ACRONYM:
AGENCY COMPLETE ADDRESS:
(street name & number
building/room/suite)
TELEPHONE #:
FAX #:
EMAIL ADDRESS:
Please email or fax this form to:
DoIT Service Desk
Department of Information Technology
45 Calvert Street, Annapolis MD 21401
email: service.desk@maryland.gov
Fax: 443-926-9742
Telephone: 410-260-7778
USE THIS FORM WHEN THERE IS A CHANGE OF YOUR AGENCY
TELECOMMUNICATIONS COORDINATOR.
Clear Form
Print Form
STATE OF MARYLAND
DEPARTMENT OF INFORMATION TECHNOLOGY
TELECOMMUNICATIONS COORDINATOR
TELEPHONE #: 410-260-7778
Email: service.desk@maryland.gov
AGENCY CONTACT INFORMATION FORM
REQUEST TO:
ADD
CHANGE
DELETE
NAME OF CURRENT / NEW CONTACT:
LAST NAME:
FIRST NAME:
MID INI:
CLASSIFICATION / TITLE:
DEPT / AGY:
AGY ACRONYM:
AGENCY COMPLETE ADDRESS:
(street name & number
building/room/suite)
TELEPHONE #:
FAX #:
EMAIL ADDRESS:
Please email or fax this form to:
DoIT Service Desk
Department of Information Technology
45 Calvert Street, Annapolis MD 21401
email: service.desk@maryland.gov
Fax: 443-926-9742
Telephone: 410-260-7778
USE THIS FORM WHEN THERE IS A CHANGE OF YOUR AGENCY
TELECOMMUNICATIONS COORDINATOR.