UCOP Cell Phone – Other Services

* Requestor's Name:
* Requestor's Phone:

* User's Name:
* User's Department:
User's Office Phone:
User's Cell No.:    User's Account Number:
(Existing cell number required for upgrade, local port, transfer of liability, warranty exchange, account/feature changes, and deactivations.)

Transfer of Liability
  Fax the first two pages of the most current (employee) invoice to: (510) 587-6464.
   Provide UCOP cell account to which number should be moved: OR
   If new, provide billing address and contact information:
  

   Move from carrier:   to carrier:

Local Port
  Fax the first two pages of the most current (employee) invoice to: (510) 587-6464.
   Current Service Provider: Select Current Service Provider ATT Mobility Verizon Wireless SprintNextel T-Mobile
   Current Account Number:
   If applicable, please provide existing password on account:

   New Service Provider: Select New Service Provider ATT Mobility Verizon Wireless SprintNextel T-Mobile

Account/Feature Change

  Account Changes:
   Account Number: Request:

  Feature Changes:
   ESN Swap/Change
   Add Equipment Insurance
   Add Global Roaming
   Add Global Data
   Add Text Messaging     Indicate Number of Text Messages: or Unlimited Text Messages
   Other, specify:

Accessories
   Indicate Phone Type:
   Indicate Accessories:

In the event of loss or theft, a phone number may be suspended rather than cancelled for a few days to give the holder time to locate the device. If the device is not found after a period of time additional action will be required.
Cell Phone Number: Suspend     Terminate

To cancel an account or contact them by phone at: (510) 987-0017.

* FAU to be charged: Loc: M   Account: Fund: Sub:
* Department Code:

Manager with Signature Authority:
* Name:
* E-mail:

You may print this form for your records prior to submitting.