Disconnect Cellular Service For help requesting service or using this form, call 486-4357. Department and Billing InformationDepartment Name:*Department Number:Contact InformationContact Name:* First Last Contact Phone:*Contact Email:* Subscriber InformationSubscriber Name:*Subscriber as listed on the phone bill.Cellular Service to be disconnectedCellular Service Number:*Vendor:AT&TSprintVerizonReason for Disconnecting Service:Service is no longer neededEmployee left UConnFunding not availableComments:Note: Equipment in GOOD working order may be: • re-assigned to another employee. • sent to Central Stores. Complete an ACT-39 form found on their web page and send with the device(s) to Central Stores. Please be sure all information has been removed from the device(s).