Stacks of brochures.

National Wireless Program

Equipment Swap Request Form


ATTENTION to all Mobility Services Coordinators, Managers and Property Custodian/Delegates.
All property information must be complete and accurate before submitting. If not, the information will result in errors during the property upload. By submitting this form to the NWP, you agree that the wireless device asset will be loaded directly into your cost center.



Wireless Device User Information






Point of Contact







Vendor


Current Device

 
 



Current Device Barcode




Desired Device



Desired Device Barcode




MSC approval is required for ALL wireless requests for AFN, ARP and ATO. This includes iPhones, Cellular iPads, Cellular Phones, Datacards, Satellite phones and International Features.


For all other organizations, only Cellular iPad, iPhone, and International Features requests must be submitted by the MSC.







Comments/Special Requests/Justification