Letter of Authorization

Your Information

Please provide your contact details as the account holder or authorized representative.

First Name *

Last Name *

Email Address *

Phone Number *

Company / Business Name

Business Type

Country *

Service Address *

City *

State / Province *

ZIP / Postal Code *

Number Porting: To port your existing number(s) to AssuredLink, we need your current provider's account details. This allows us to initiate the transfer on your behalf with US and Canadian carriers.

Numbers to Port

List all phone numbers you want to transfer to AssuredLink.

Primary Number to Port *

Additional Number (if any)

More Numbers (one per line)

Current Provider Details

Your current telephone service provider — US carriers (AT&T, Verizon, T-Mobile, Comcast, etc.) or Canadian carriers (Bell, Rogers, Telus, etc.).

Current Provider Name *

Account Number *

PIN / Password (if applicable)

Billing Telephone Number

Billing Address (as on provider's bill)

Desired Port Date

Are you the account holder? *

Supporting Documents (Optional)

Upload your current phone bill, account statement, or ID. PDF, JPG, PNG — max 10MB each.

Drag & drop files here or click to browse

PDF, JPG, PNG · Max 10MB per file

SIP Trunk (VoIP) Plans

Select the VoIP plan that fits your business. 10% discount on annual payments. US & Canadian DID numbers available.

PER LINE$24.99/moUnlimited Local + 500 NA Min

4-LINE COMBO$79.99/moUnlimited Local + 500 NA Min

8-LINE COMBO$129.99/moUnlimited Local + 500 NA Min

DIGITAL FAX$9.99/moIncoming & Outgoing Fax

NO VOIP—Wi-Fi service only

Wi-Fi Management Plans (Optional)

Add managed Wi-Fi to your package for any US or Canadian location.

50 ROOMS$39.99/mo500+ connections

50–75 ROOMS$55.99/mo500+ connections

75–100 ROOMS$79.99/mo1000+ connections

100–150 ROOMS$109.99/mo1000+ connections

NO WI-FI—VoIP only

Device Options (Optional)

Do you need a device? Select one or choose BYOD (Bring Your Own Device).

Device Type

Payment Preference

Additional Notes or Special Requests

Letter of Authorization

Please read and sign the authorization below to complete your application.

LETTER OF AUTHORIZATION – TERMS & CONDITIONS

I, the undersigned, hereby authorize AssuredLink ("the Company") to act as my agent for the purpose of porting my telephone number(s) from my current service provider to AssuredLink's network.

By signing this Letter of Authorization (LOA), I confirm that:

1. I am the account holder of record for the telephone number(s) listed in this application, or I am an authorized representative with authority to act on behalf of the account holder.

2. I authorize AssuredLink to submit a porting request to my current carrier on my behalf — including US carriers (AT&T, Verizon, T-Mobile, Comcast, etc.) and Canadian carriers (Bell, Rogers, Telus, etc.) — and to provide any necessary information to facilitate the transfer.

3. I understand that the porting process may take 3–10 business days, and that my current service with my existing provider will be cancelled upon successful completion of the port.

4. I acknowledge that one-time setup fees and number porting charges apply, as outlined in AssuredLink's current pricing schedule.

5. I agree to AssuredLink's Terms of Service and Privacy Policy, and I consent to being contacted by AssuredLink regarding my service.

6. I understand that providing false or inaccurate information on this form may result in delays or cancellation of my porting request.

I have read and agree to the Letter of Authorization terms above, and confirm all information is accurate. *

I authorize AssuredLink to initiate the number porting process on my behalf with my current carrier. *

I agree to receive service-related communications from AssuredLink at the email and phone number provided.

Digital Signature

Draw your signature with mouse or finger, or type your name. Your timestamp is captured automatically when you reach this step.

Sign below using mouse or finger

Your signature will appear here

Timestamp will appear when you reach this step

Full Legal Name (Print) *

Title / Position (if on behalf of a business)

LETTER OF AUTHORIZATION

LETTER OF AUTHORIZATION – TERMS & CONDITIONS

APPLICATION SUBMITTED!