assignmentofliabilityagreement.docVIP

Transfer of Billing Responsibilities E-mail/Faxback Form Personal/Employee to Corporate Assumption of Liability rev.0座机电话号码 This form will allow you to transfer billing responsibilities for a Verizon Wireless mobile telephone number currently held by you to your employer Complete all the applicable fields below. If you are eligible, or required, to change your calling plan or if the line you are transferring is the primary line on a Family SharePlan, or is the only secondary line on a Family SharePlan , please review the available calling plans on the Verizon Wireless website at . After selecting a calling plan, complete the fields in the Calling Plan Change section below. Read the terms and conditions of this Transfer of Billing Responsibilities Form. When returning this form via e-mail you must click the box above the signature line below to acknowledge your electronic acceptance of these terms. Save a copy of the form and upload it to the Verizon Wireless Secure Document Gateway at /tbmb/formuploader/ address must be manually typed in to your browser . The form should then be e-mailed to vzwwfmbscnortheast@ from the Secure Document Gateway. E-mails will only be accepted from your Organization’s email domain. Once the form is received, a confirmation e-mail notice will be sent to the requester’s e-mail box. If e-mail process is not available, return this form via Fax, have both parties sign and print at the bottom of this form and fax this form to: 1-800-675-2787 Note: Completion timelines for the Assumption of Liability request is 3-5 business days. Account Information Relinquishing Customer Wireless Number to be Transferred: Existing Account Number: Current Calling Plan: Relinquishing Customer’s Name: Relinquishing Customer’s e-mail Address: Relinquishing Customer’s Billing Address: No PO Boxes City: State: Zip Code: Billing Address Cont : Relinquishing Customer’s Phone Number: Relinquishing Customer’s Employee I.D. if applicable :