Cellular Phone Disconnect Request


Complete and submit this form to request your departmental cellular phone be disconnected. Questions about the information required on the form should be directed to Wendi Steinberg in Telecommunications at steinber@uwm.edu.

Return disconnected cellular phones to:
Wendi Steinberg
UITS Business Office
NWQ B7438
NOTE: All fields are required.

Contact Information (person requesting the disconnect)

* First Name:
* Last Name:
* E-mail Address:
* Phone Number:
Area Code: Number:


Cell Phone User Information

* First Name:
* Last Name:
* E-mail Address:
* Phone Number:
Area Code: Number:
* Billing Number:
-
A Billing Number not a Purchase Order is required.
Disconnect Date:
(MM/DD/YYYY)