THE STANDARD LETTER OF AGENCY DOCUMENT
A Letter of Agency (LOA) must be completed by the end-user and supplied to Level 3 upon request. The LOA must contain the name and current service address of the end-user and the numbers that will be ported to Level 3 from the end-user’s current carrier. The LOA used must comply with FCC regula-tions and must be dated and signed by the end-user or a person who has the authority to act as a legal agent.
Thank you for choosing Level 3 Communications, LLC, (“Level 3”) as your network carrier. As you are aware, you may continue to use your existing telephone number with Level 3. In order to transition your current telephone number to the Level 3 network, Level 3 must work with your previous service provider to ensure that your service is uninterrupted, and where applicable, to ensure that your number is transferred.
Your prior service provider requires this letter as proof that you have explicitly authorized and requested that your service and current telephone number be transferred to another service provider. By filling in all the information requested below and signing and dating this letter, you provide us with the authorization to initiate the process of transferring your service and telephone number to Level 3. You will then be able to use your old number with the Level 3 network.
Please ensure the following information is completed accurately to prevent possible delays.
End-User Name (Business or Residential): ________________________________________________________ Person authorized to make this request if a business: ___________________________________________________ Service Street Address: Suite or Apartment No: __________
City: State: ZIP Code: ____________________
Current Service Provider: _________________________________________________________________________ *Note that all Telephone Numbers listed below must be associated with this Name.
Beginning Range TN End Range TN Billing (main acct) TN for porting TNs
1 ____________________________ ________________________________ _______________________________
2 ____________________________ ________________________________ _______________________________
3 ____________________________ ________________________________ _______________________________
4 ____________________________ ________________________________ _______________________________
5 ____________________________ ________________________________ _______________________________
6 ____________________________ ________________________________ _______________________________
PLEASE REMOVE ANY FEATURES (i.e., Hunt Group) ASSOCIATED WITH THESE NUMBERS PRIOR TO SUBMITTING THIS LOA. ADDITIONALY, PLEASE DO NOT PLACE ANY NEW SERVICE ORDERS OR DISCONNECTS WITH YOUR CURRENT SERVICE PROVIDER ON THIS ACCOUNT, AS THIS WILL CAUSE A DELAY IN PORTING YOUR NUMBERS.
If you wish to select Level 3 as your new service provider for the telephone number listed on this form, you will need to sign your initials on the THREE (3) lines below, as applicable:
I select _________ (initials) Level 3 as the network carrier for all local calls for this number.
I select _________ (initials) Level 3 as the network carrier for all intrastate toll calls for this number.
I select _________ (initials) Level 3 as the network carrier for all interstate toll and international calls for this number.
If you want to receive service on the Level 3 network, you will need to select Level 3 in ALL THREE (3) spaces above. You may not have more than one carrier for each TYPE of service above.
By signing below, I designate Level 3 to transfer my service from my current provider to Level 3. By signing below, I also authorize Level 3 to transfer my current telephone number used to provide service so that Level 3 may provide its network service to me. By signing below, I also authorize Level 3 to obtain billing information, customer service records, and other information required to provide me with service on the Level 3 network. I understand that I may consult with Level 3 as to whether a fee will apply to the change.
Printed End-User Name: ___________________________________________________ Date: ___________________________ Signature: _______________________________________________________________