DIR Work Request    Please enter the following information (Please fill out all fields): If you can read this, don't touch the following text fields. Agency: HHSC DARS DADS TPWL ABC DPS TWC DFPS TX Youth Commission Comptroller of Public Accounts TX Board of Professional Engineers GISD NSISD TWU UTSA DSHS DFPS Other Region #: Region 01 Region 02 Region 03 Region 04 Region 05 Region 06 Region 07 Region 08 Region 09 Region 10 Region 11 PO#: Billing Address: Requestor Name: E-Mail: Phone Number: Site Contact: Site Phone: Site E-Mail: Address: City: State: Zip Code:   Briefly describe the Scope of Work:    Due Date: mm/dd/yy Please click "Browse” to provide attachments (Plans/Drawings, Specifications, details and other documentation). If you have more than one file, please submit them in a "zip" file.     The maximum file upload size is 10MB                                                                              Contact Information and Escalation ACS Work Request Ticket Request Support Team www.acsdataline.com; click on “DIR ICT Cooperative Contracts” then “Work Request” or 1-888-852-3282 ext. 644 ► Bridget Stewart Project Manger Bridget.Stewart@blackbox.com Office: 512-719-6644 Cell:    512-426-2751 ► Doug Habbe Senior Operations Manager Doug.Habbe@blackbox.com Office: 512-719-6626 Cell:    512-585-5130 ► Scott Kubenka Director of Operations Scott.Kubenka@blackbox.com Office: 512-719-6610 Cell:    512-750-3043 ► Quint Cardwell VP, Technology Services Quint.Cardwell@blackbox.com Office: 512-719-6612 Cell:    512-917-3828         About Us | Privacy Policy | Contact | © 2012 ACS Dataline, LP.