IUP Wireless Phone Request Form

Please fill out the form below to initiate the order for an IUP-owned wireless phone. This service is only available to employees.

*Required Field

Contact Information

First Name*
Last Name*

Your IUP Email Address*

Cost Center*

Is this a replacement for an existing IUP-owned phone?

Yes

No

If yes, please provide cell phone number (###-###-#### format)

Phone Model* selected from Verizon Wireless website (contact Hannah Montgomery at ext. 7-3874 for pricing)

Please choose your phone’s accessories:

Car Charger

Phone Cover

Holster

Other

None

Please read and acknowledge the following:
The financial manager on the cost center (existing phone) or the VP of division (new line of service) must send a follow up email to wirelessphone-request@iup.edu granting approval.

I understand my request must be approved by the financial manager on the cost center (existing phone) or the VP of my division (new line of service) before my request can be processed by Financial Operations.