Employee Cell Phone Plan

Your Name(Required)

First Last

Your Email(Required)

Who Authorized You to Fill Out This Form(Required)

What are you looking to do?(Required)

Transfer Current Phone Numbers

Activate Current SIM Card with New Number

Get New SIM Card with New Number

In order to qualify for this company perk/benefit you must be employed for at least 1 year as a FULL TIME (40 hours) employee and you must be in good standing for at least 90 days (minimal infractions). In order for your cell phone to be paid for by the company, you MUST NOT have a balance on your phone. Your account balance must also be $0. You will need to call your cell phone company to authorize your cell phone numbers to be transferred to a new carrier, you can do that by dialing 611 from your phone. You will also need to get the transfer pin number.

Name on Current Cell Phone Account(Required)

Current Cell Phone Provider(Required)

What cell provider are you with?(Required)

Account Number(Required)

Phone Number to Transfer #1(Required)

Caller ID Name(Required)

This is what will show up on outbound caller ID for your name.

IMEI(Required)

You can obtain the IMEI from your cell phone by dialing #*06$ -- We will need this to activate your eSIM

Do you have a second phone line to transfer?(Required)

Yes

Phone Number to Transfer #2

Caller ID Name

This is what will show up on outbound caller ID for your name.

IMEI

Transfer PIN Provided by Current Provider(Required)

Desired Area Code if Phone Numbers Cannot Be Transferred(Required)

Line Information:(Required)

SIM Card #

Desired Area Code

Caller ID (max 15 chars)

Line Information:(Required)

Desired Area Code

Caller ID (max 15 chars)

Address to ship SIM Card to(Required)

Street Address City State / Province / Region ZIP / Postal Code

I authorize New England Security to move my current lines to their company cell phone plan. I am aware that if I leave the company or if I receive too many infractions (more than 3 in a month) I will have to pay $30 per line activated on the company cell phone plan. Management Reserves the Right to Terminate this plan/benefit at anytime for any reason with or without notice. We can not guarantee you the same phone number.

Signature(Required)

Employee Cell Phone Plan

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