Cellular Phone Deactivation or Transfer of Service Form

See reverse side for a detailed description of how to complete the following form.

(Please return this form to Accounts Payable)

A. Deactivation of a departmental cellular phone

NOTE: There is a cancellation charge – this charge is calculated based on the number of remaining months on the contract.

Cellular phone number to deactivate ______

Date to deactivate ______

Authorized by (print) ______

Authorized signature ______

B. Transfer of cellular phone within the College

Current cell phone user information: (transfer from:)

Last Name: (print) ______

First Name: (print) ______

Cellular phone number: ______

Department: ______Extension: ______

Authorized by (print) ______
Authorized signature: ______
Date of authorization: ______

Old Account Number: ______

C. New cell phone user information: (transfer to:)

Last Name: (print) ______

First Name: (print) ______

Department: ______Extension: ______

Authorized by: (print) ______
Authorized signature: ______
Date of authorization: ______
New Account Number: ______

FINANCE USE ONLY

AP Clerk ______

Request for a change of service or deactivation of a cellular phone:

1.  Print a hardcopy so that Accounts Payable has an approved signature on file. Complete the form and send to Accounts Payable through the interoffice mail. Ensure that it has been approved and signed by the appropriate person with signing authority in your department. (Follow Purchasing Hierarchy)

2.  If you would like to deactivate the service, complete section ‘A’ on the form.

3.  If you are transferring the phone to another employee within your department, complete section ‘B’ on the form.

4.  If you are transferring the phone to an employee in another department, complete sections ‘B’ and ‘C’. Note: this will require two authorization signatures.

5.  If a user is leaving the College and taking the phone with them for personal use, then they must place a helpdesk call to request a “Bell Mobility Change of Billing” form. The department will continue to be billed until this form has been processed.