IR&C - UCOP Cell Phone Order

Use this form to request new cell phone service or upgrades to existing cell phone service. Users requesting Blackberry models must complete the UCOP IT Services Form which is submitted electronically to TechDesk. IR&C users must review and sign the Portable Electronic Device Usage Agreement (pdf) and submit it to Kim Dorsey, 7102A, Franklin.

For Transfer of Liability, Local Port, orders for Accessories or Account/Feature Changes, please use the UCOP Cell Phone – Other Services Form.

Required fields marked with an asterisk (*).

Indicate Order Type New Service/Equipment Upgrade Equipment

Requestor/User Information

* 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.)

Services Requested * Carrier: * Desired Area Code: Other AreaCode

* Equipment: Qty: See our more popular models.
(ATT Mobility iPhone® package includes Anytime 450 Minutes, unlimited data; iPhone® support coming soon.)

* Voice Plan: Enter number of minutes:
Data: Defaults to unlimited for Smartphones.

AUTHORIZATION OF CHARGES FOR UCOP CELL PHONE ORDER

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

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

Print, Submit, or Cancel

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

UCOP Cell Phone Purchase Form