iPad Service Form

Use this form to request new iPad service or upgrades for existing iPads. IR&C users must review and sign the Portable Electronic Device Usage Agreement (pdf) and submit it to TechDesk, 7th Fl. Franklin.

For accessories please use the Other Smartphone Services Form.

All fields are required for this order to be processed.

Indicate Order Type New Service/Equipment Activate Existing Equipment Upgrade Equipment

Requestor/User Information

Requestor's Name:
Requestor's Phone:

User's Name:
User's Department:
User's Office Phone:
User's SmartPhone Account No:

iPad Service Requested

Select iPad model, and complete the corresponding section.

For New iPad Customers

AT&T iPad 2
Choose Capacity : 16GB 32GB 64GB
Networking: Wi-Fi + 3G Data plan
Network Coverage: Domestic Global

Verizon iPad 2
Choose Capacity : 16GB 32GB 64GB
Networking: Wi-Fi + 3G Data plan
Network Coverage: Domestic Global

For Existing iPad Customers

AT&T iPad 2
Choose Capacity: 16GB 32GB 64GB
Networking: Wi-Fi + 3G Data plan
Network Coverage: Domestic Global

Verizon iPad 2
Choose Capacity : 16GB 32GB 64GB
Networking: Wi-Fi + 3G Data plan
Network Coverage:Domestic Global

* Data plan: E-mail is included with every order at an additional cost as listed in the rate plans (pdf). Rates may change, contact Voice Services for current rates.
*The iPad2 Smart Cover is included with every order (in Black) at an additional cost of $69. For additional colors, visit www.apple.com.

iPad Service Recharges

Bill to New Smartphone Account

Billing contact information
Name:
E-mail:
Bill to Adress:

Bill to Existing Smartphone Account

Provide Smartphone Account #

or Mobile No. on Account

AUTHORIZATION OF CHARGES FOR iPad ORDER

FAU to be charged: Loc: M Account: Fund: Sub:
Department Code:

Manager with Signature Authority:
Name:
E-mail:

Print, Submit, or Cancel

Use of UCOP electronic communications resources must conform with the UCOP User Agreement, the UCOP Acceptable Use Policy, and the University of California Electronic Communications Policy.
You may print this form for your records prior to submitting.

Please submit your questions, comments, and suggestions at feedback.html