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Verizon Connections
Discount Eligibility Form

Please complete the form below. If we find your employer in our systems, you will be given the option to fax or
upload us a copy of your proof of employment

Please have one of the following proof-of-employment documents ready:

Pay stub - a paystub is an accepted method of employment verification in for all participating companies. The document must be clearly legible when scanned or faxed. The paystub must include the name of your employer, your name and it must be dated within the last 60 days. Please black out all other personal information, including your salary information, taxes, social security number, etc.

Employee badge - Do not send a badge copy unless you have been instructed to do so in the communication regarding the Verizon Connections Program. Very few employers have agreed to badge validation. If we do not have a sample badge, approved by your employer on file, your submission will be rejected.

Employer Information
*Company name

Employee Information
*Employee Last Name

*Employee First Name

*Daytime Phone Number
*Last 4 Digits of Your SSN

*Email address :

*Confirm email address

*State of Residence

Verizon Connections: Discounts on qualifying packages available to qualifying persons.Standard bundle and other agreements, eligibility restrictions & additional terms apply.Verizon Connections program and amounts are subject to change and may be modified or discontinued at any time.

Top Questions
  • How do I get the discount?
  • I don't have a corporate email address. Can I still get a discount?
  • After I register on the Verizon Connections site, how long will it take to get an email back to my corporate email address?
  • In what states is the Verizon Connections discount available?
  • I am an Active Verizon employee interested in the Ultimate Employee Program. Is this the correct site or is there another URL I should use?
  • I am a Verizon retiree interested in the Ultimate Employee Program. Is this the correct site or is there another URL I should use?
  • I have questions about the program that aren't addressed in these FAQs. Who can I contact?
  • I followed the link, but I’m not seeing the special pricing displayed. What’s wrong?
Frequently Asked Questions