Opt out Request for Integrated Messaging Service Agreement Verizon Messages with Integrated Messaging is now available to business customers. Integrated Messaging allows users to save messages to Verizon’s cloud-based servers for up to 90 days and to synchronize messages seamlessly across multiple devices, including smartphones, tablets and the web. Integrated Messaging is not designed for secure transmission or storage of personal healthcare information. Therefore, it must not be used to store or transmit Protected Health Information (PHI) as defined in the Health Insurance Portability & Accountability Act of 1996 and the Health Information Technology for Economic and Clinical Health Act of 2009 and accompanying regulations (collectively “HIPAA”). If your business is a Covered Entity or Business Associate as defined by HIPAA, or if your business otherwise does not want its users to save messages to the cloud, you must block this service. To do so, follow the instructions below. Please return this form to opt out of Integrated Messaging service for your entire business account (all lines in your business account). Please email this form to: VZWWFMBFOSMBProfile@VerizonWireless.com You must be an Authorized Point of Contact (POC) for your Company to submit this form and make this opt-out request. Company Name (“Customer”): _______________________________________________________ Account #: _______________________________________________________________________ Authorized POC Name: _____________________________________________________________ Date: ____________________________________________________________________________ 1