National Wireless Program Request Form
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


Current Device

Current Device Barcode

Desired Device

Desired Device Barcode

MSC approval is required for ALL wireless requests. This includes iPhones, iPads, Cellular Phones, Datacard’s, Satellite phones and International Features requests.

Click here to find your MSC and Funding Line of Business

Comments/Special Requests/Justification