A tool is used for inserting and removing an MT-type fiber optic ferrule from an adapter. The tool includes a handle having one or both of an insertion portion and a removal portion. An insertion head is movably coupled to the insertion portion of the handle. A removal head is movably coupled to the removal portion of the handle. The handle has opposing ends for the insertion portion and the removal portion. The handle may have other configurations. A sliding lock may be used to lock the rotatable insertion portion and rotatable removal portion in a fixed position relative to the handle.