LOA Form - Local Service

Letter of Authorization Form

Local Number Porting Service
To Whom It May Concern:

I hereby authorize PHONEWARE INC and their serving carriers to act as my (our) agent in all matters related to the local telephone number(s) listed below and to obtain and manage local telephone service for the organization. This Letter of Authorization also authorizes the current carrier to release all LVAS/LIDB and WPL records associated with the numbers below. My signature below authorizes my request.

This LOA supersedes any previous Letter of Agency related to the following local number(s). Please port the numbers listed below to Phoneware, Inc
List of Phone Numbers to Port*
Organization Name*
Service Address*

Service Address as listed on current carrier invoice

Service Address Line 2

Service Address CityService Address State / Province

Service Address Postal / Zip Code
Current Carrier Name*
(Cox, Centurylink, Lumen, etc.)
Account Number*
This can be found on an invoice from your current carrier.
Porting Authorization Code
Not required with all carriers. If present on your current carrier invoice, please enter it here. This porting authorization code may be listed on your current carrier invoice using a word that rhymes with "tin", but this word isn't allowed on forms by this form service.
Full Name of Authorized Signer*

First NameLast Name
Title*
Email Address*
example@example.com
Signature*

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Upload Recent Invoice From Current Phone Carrier*

Must be your most recent invoice, typically less than 30 days old.
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Upload Customer Service Record (CSR) If Available

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Should be Empty:

Letter of Authorization Form