Verizon Employee Discount Registration Form
This form allows eligible employees to purchase Verizon Wireless equipment and services at a discounted rate. It includes instructions for registration, proof of employment requirements, and important terms and conditions. Fill it out to benefit from your organization's agreement with Verizon Wireless.
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How do I fill this out?
To fill out this form, begin by ensuring that the Verizon Wireless account is in your name. Next, read and agree to the terms by signing below. Finally, provide proof of employment and fax the completed form to the designated number.

How to fill out the Verizon Employee Discount Registration Form?
1
Ensure the Verizon Wireless account is in your name.
2
Read and agree to the form's terms and conditions.
3
Provide proof of employment with your employee ID or recent pay stub.
4
Complete all required fields in the form.
5
Fax the form and proof of employment to 1-800-711-7788.
Who needs the Verizon Employee Discount Registration Form?
1
Employees of participating organizations need this form to access discounts on their Verizon Wireless services.
2
HR departments may require this form to verify employee eligibility for discounts.
3
New employees who join a participating organization will need this form to register for their discount.
4
Government employees eligible for discounts can use this form to access the Government Employee Discount Program.
5
Managers responsible for employee benefits may need this form to assist employees in obtaining their discounts.
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What are the instructions for submitting this form?
To submit this form, fax it along with proof of employment to 1-800-711-7788. You can also register online at www.verizonwireless.com/getdiscounts if your employer is registered. Ensure that you have completed all fields and attached the necessary documents before submitting for a smooth process.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for this form, but it's advisable to submit it as soon as you become eligible for the employee discount. Ensure that you keep your employee ID or pay stub handy for proof of employment.

What is the purpose of this form?
The purpose of this form is to allow eligible employees to register for discounts on Verizon Wireless equipment and services. It ensures that employees of participating organizations can easily access and benefit from exclusive rates. Completing this form also provides Verizon Wireless with necessary proof of employment to verify eligibility.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Signature: The applicant must sign the form to agree to its terms.
- 2. Print Name: The applicant's name must be printed clearly.
- 3. Date: The date the form is filled out.
- 4. Organization Name: The name of the employer organization.
- 5. Mobile Telephone Number: The applicant's mobile contact number.
- 6. Email Address: The applicant's email must be provided.
- 7. Additional Lines: Space to list additional lines eligible for discounts.
What happens if I fail to submit this form?
If you fail to submit this form, you will not be able to access the discounted rates offered to your organization. This may result in missing out on significant savings on your Verizon Wireless services. It's essential to ensure all sections are completed accurately to avoid delays.
- Loss of Discount Eligibility: Failure to submit the form may result in losing access to employee discounts.
- Increased Monthly Charges: Without the discount, your service rates may revert to standard pricing.
- Delay in Processing: Incomplete submissions can lead to processing delays, affecting your discount timeline.
How do I know when to use this form?

- 1. New Employment: When you start a new job at a participating organization, use this form.
- 2. Discount Program Enrollment: To enroll in the Verizon Wireless Employee Discount Program, submit this form.
- 3. Line Addition: When adding new lines to your existing account, this form is necessary for additional discounts.
Frequently Asked Questions
What is this form used for?
This form is used for registering employees to receive discounts on Verizon Wireless equipment and services.
How do I submit this form?
You can submit this form by faxing it to 1-800-711-7788 after completing it.
What proof of employment do I need?
You can provide a photocopy of your employee ID or a recent pay stub as proof.
Can I edit this PDF?
Yes, you can easily edit the PDF using PrintFriendly’s editing tools.
Is there a fee for using this form?
There is no fee to use this form as part of your employee benefits.
How long does it take to process my discount?
The discount will be applied within 1 to 2 billing cycles.
Can government employees use this form?
Yes, government employees are eligible to use this form for discounts.
What if I make a mistake on the form?
You can easily edit the form using PrintFriendly before submission.
How do I share this form with others?
You can generate a shareable link or download it to email.
What should I do if I no longer work for the organization?
You will need to notify Verizon Wireless and may lose your discount eligibility.
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