Local Number LOA- Porting Authorization

Local Number LOA- Porting Authorization

Letter of Agency (LOA) v1.22.19, YeaVoice, LLC
Name-Authorized Person*

First NameLast Name
Company*
Enter Company Name (As shown on Bill)
Billing Address (as shown on bill):*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
youremail@yourdomain.com
Billing Account Number*
Account number on your bill
Billing Account PIN/SSN/NA
*Please provide the PIN or the last 4 digits of the Social Security Number (SSN) when porting a wireless number.
Billing Telephone Number*
Main telephone number on account
**New Billing Telephone Number (BTN):
**Partial Ports - If you are porting the BTN, please identify a new BTN for the numbers being left behind.
Requested Port Date:*

MonthDayYear
Select Requested Port Date (No Weekends or Holidays).
**Partial Ports - If you are porting the BTN, please identify a new BTN for the numbers being left behind.

I, {nameauthorizedPerson} certify that I am an authorized representative of {company} and hereby authorize YeaVoice, LLC to act on my behalf and to take the necessary steps in order to port my telephone number(s) to the YeaVoice, LLC. By signing below, I understand that I am granting YeaVoice, LLC the authority to communicate with my current telephone service provider(s) as well as complete any and all paperwork on my behalf in order to port my phone number(s) away from my current telephone service provider(s) to YeaVoice, LLC. I understand that either my electronic or written signature of this request may be accepted. I agree to send YeaVoice, LLC a current telephone bill copy as described at the top of this form.

I further understand that my current telephone service provider may charge for changing service providers and that I will be responsible for any such charge(s). I understand that I will be informed if my number is not portable to the YeaVoice, LLC. I understand that the standard porting time is seven (7) to sixty (60) days, and that porting of my number is dependent upon release of my number(s) from my current carrier.

*Do not include Toll-Free Numbers in this Form.

*Please submit only one location or one bill at a time. Fill out another form for locations or numbers on a separate bill.

*Please attach an Excel sheet for additional numbers (More than 15).

*IMPORTANT: Do not cancel service with your current phone service provider until you receive notice that your number has been successfully ported and is active on YeaVoice, LLC. To do so will cause you to lose your phone number(s). Cancellation of a LNP request incur cancellation fees. Refer to your Terms of Service Agreement for information on these fees.
Type in your phone numbers here (Use Excel sheet for more than 15 Numbers:*
Ex: 15554441234 followed by enter.
Fax Numbers
Please list any fax numbers that you added above. Separated by enter. Ex: 5554441234
Upload your most current bill here (Scanned PDF or Original PDF).*

Browse Files
Please use the most recent bill (30 days or less preferred). Cancelof
Signature*
Signed: {nameauthorizedPerson}
Title:
Date*

MonthDayYear
Today's date
Should be Empty: