Add/Change Cellular Services

* denotes a required field

Verizon Cellular Service Request Form

An email approval from your Vice President sent to [email protected] is required before ordering the following:

  • New cellular service
  • Upgrade from a phone to a smartphone
  • iPads with 3G or 4G
  • Internet devices
Person Requesting Cellular Service

Cellular Information


Select Accessories *



Department Contact Information

Approval/FOAP Information

Human Verification *



Page last modified November 27, 2019