Submit Telephone Trouble

Name (Person reporting)

Customer Phone #

How can we reach you? (Phone Number)

How can we reach you? (Email Address)

Trouble Details

Calling number (What number started the call?)

Called number (What is the number that was dialed?)

Date of calling issue (Approximate if not exact)

Time of calling issue – AKT (Approximate if not exact)

Trouble Calling out

YesNo

Trouble Receiving call

YesNo

Description of trouble (What is happening? Who is hearing what? Is there a tone or a recording?)

Additional Trouble Details

Calling number (What number started the call?)

Called number (What is the number that was dialed?)

Date of calling issue (Approximate if not exact)

Time of calling issue – AKT (Approximate if not exact)

Trouble Calling out

YesNo

Trouble Receiving call

YesNo

Description of trouble (What is happening? Who is hearing what? Is there a tone or a recording?)