Letter of Authorization

Created January 23, 2019

Current Provider Customer Information

Date

1. Authorized Signer

Full Name(Required)

First Last

Title

Email(Required)

Phone

2. Billing Contact (required if different than Authorized Signer

Name

First Last

Title

Phone

3. Billing Address

Company Name(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

4. Service Address (required if different than Authorized Signer

Company Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number Porting Details

Desired port due date (Must be no less than 7 business days. Your transfer is NOT guaranteed to be on this date)

Desired Port Date(Required)

Current Service Provider(Required)

Account Number (sometimes called a BTN)(Required)

Account PIN (If Applicable)

Depending on the losing carrier, you may have to request a Port Out PIN. In these cases your standard PIN will not allow the port. (Contact the losing carrier to determine if this applies to your port request)

Type Of Numbers(Required)

Voice Numbers

Toll Free Numbers

Fax Numbers

Phone numbers to transfer(Required)

Please list all phone numbers to be transferred below (separate each new phone number on a new line). Fax Numbers MUST be submitted on a separate LOA and marked as FAX numbers. Toll-Free numbers must be separate too

Partial Port(Required)

Partial Ports are ports that are not pulling every number off your account from the losing carrier. This includes Fax, Internet, and Phone numbers being left on the losing carrier account.

New Account BTN (NBTN) after Port

Billing Telephone Number "BTN" left on the losing carrier account during a partial port. The losing carrier will have this information if you do not have this readily available. "If the losing carrier is AT&T or a sub contracted account through AT&T with internet, please contact their customer service for the new BTN"

Upload Current Copy of CSR (Customer Service Record)

Accepted file types: jpg, jpeg, gif, png, pdf, tiff, Max. file size: 50 MB.

Please use this button to upload your MOST CURRENT copy of your telephone bill. This bill MUST not be older than 30 days or your port could be rejected. A CSR stands for "Customer Service Record" and must be requested from the losing carrier.

Please include a copy of your last bill with this Letter of Authorization
Ensure all information matches EXACTLY what your current provider has on file now. DO NOT provide new service information
Do NOT call your current provider to cancel your service or you will not be able to keep your number
We will contact you via email or a service ticket when a number transfer date has been scheduled
When your numbers transfer to [reseller]'s Telco Network it will ring to your Voice Service
When you number transfer is complete you should then contact your old provider to ensure the old services are cancelled
Please ensure all forms are fully complete

Submitted from IP address 216.73.216.65