Customer Letter of Authority (CLoA)

for the porting of numbers from one provider to another

Current Retailer New Retailer
Name: Acme Telecoms Limited Name: My New Provider Limited
Address: 103 York Hill, Loughton, Essex, IG10 4AD Address: Calverley St, Leeds, West Yorkshire, LS1 1UR
Contact Email: porting@acmetelecoms.co.uk Contact Email: porting@mynewprovider.co.uk
Site address to register against numbers Numbers to be Ported
(Use Continuation sheets for additional numbers and/or sites)
Building Name / Number 16<br>Union Quay<br>North Shields<br>Tyne and Wear<br>NE30 1HJ 01202 030 123<br>0330 229 1234
Street Name
Town/City
County
Post Code
Main Billing number - If known (Geo only) 01202 030 123
Customer’s Details
(as shown on most recent bill from current provider)
Company Name My Company Limited
Billing Address 79
Lord St
Liverpool
Merseyside
L25 7RQ
Town/City
County
Post Code
Company Registration No. 123456789
Billing Account No. (Non-Geo only) -

Fao my current provider; - This CLoA is to notify you that I (representing the customer shown below) have taken the decision to move my Telephony services to a new Provider and require the numbers associated with those services to be ported across to my chosen new Provider (stated above).

My new Provider is authorised to act on my behalf in this matter & you have my authority to disclose to my new Provider (at their request) any other service or site-specific details they might need to allow this port to proceed (e.g. Site/Billing address post code, DDI number range, Main Billing Number (MBN), etc.)."

I recognise that it is my responsibility to arrange the cessation of, or changes to, any other services provided by my current Provider.

Requester’s Details
Signed
Print Name John Doe Job title Chief Executive Officer
Date (DD/MM/YYYY) 15/05/2024 Email john.doe@mycompany.co.uk
Validity This CLoA is valid for 6 months from the above date
Page Number 1 OF 2

Customer Letter of Authority (CLoA)

for the porting of numbers from one provider to another

Customer Company Name
Additional Sites and/or Numbers to be Ported
Site Address(es) Numbers to be Ported
Requester’s Details
Signed
Print Name John Doe Job title Chief Executive Officer
Date (DD/MM/YYYY) 15/05/2024 Email john.doe@mycompany.co.uk
Validity This CLoA is valid for 6 months from the above date
Page Number 2 OF 2