Trouble Ticket Reporting

To report a problem with your telephone service, please complete the form below and click on submit when you are finished. Thank you.

* Indicates required field
* Billing Name & Address	,
* Email Address
Name of Person Reporting the Trouble
* Telephone number where trouble is located
Telephone number you are calling from
* Telephone number where you can be reached
Best time to contact you
* Date and time of day trouble started
*	am pm
Where is the telephone located?	Please note: There will be a $29.50 charge if the trouble is your inside wire and you are not paying for Inside Wire Maintenance.
* Do you have a cordless phone, answering machine or computer connected to this line?	Yes No
* If yes, have you disconnected them and tried the telephone again?	Yes No
Please describe the trouble you are experiencing with this telephone:	Examples: - Noisy Line - Phone Cannot Be Called
Please provide directions to the residence:
Select Best Description

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