Number Porting Form

Number Porting Form

Due to a change in industry standards we have changed the form slightly. Please ensure that all field are fill out correctly as rejected ports will incur a fee.
Current Retailer's Details
Company Name
Address
Address

(This is the address registered against the numbers, you can call your current retailer to confirm this)
Building Name/Number
Street Name
Town/City
Postcode
Your Numbers
Numbers To Transfer
Account Number (as on your current supplier's invoice)
Main Billing Number (For 01 and 02 Numbers Only) (you can get this from your current supplier)

Requester's Details
Fao my current provider; - This CLoA is to notify you that I (representing the customer shown below) have taken the decision to move my Telephony services to a new Provider and require the numbers associated with those services to be ported across to my chosen new Provider (stated above).

My new Provider is authorised to act on my behalf in this matter & you have my authority to disclose to my new Provider (at their request) any other service or site-specific details they might need to allow this port to proceed (e.g. Site/Billing address post code, DDI number range, Main Billing Number (MBN), etc.).

I recognise that it is my responsibility to arrange the cessation of, or changes to, any other services provided by my current Provider.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Print Name
Job Title
Email
example@example.com
Should be Empty:

Current Retailer's Details