Telecommunications Service Accessibility Survey

Please submit this form to help us learn about the difficulties you might be experiencing with our services.
  • Briefly describe the disability of the member of your household, and how it is affecting his or her use of our services:
    Please check the services with which your household member is experiencing difficulty due to his or her disability.
  • Are you aware of any devices that could help alleviate these difficulties?
    May we contact you further about accessibility issues?
  • What is the best time and manner to contact you?
  • This field is for validation purposes and should be left unchanged.

Dear Valued Customer:

In an effort to ensure that all of our customers with disabilities are able to effectively use our telecommunications services, we’re reaching out to collect information and provide the opportunity for suggestions on how we can improve our offerings in that regard.

If you or someone in your household has a hearing, vision movement, manipulative, speech, cognitive or similar disability, we invite you to provide us with the following information:

  1. A brief description of the disability and how it is causing difficulty using our services;
  2. A list of services that are affected;
  3. Any suggestions you might have on what available solutions might be able to reduce or eliminate these difficulties; and
  4. Whether the individual having the disability is willing to be contacted further by the company (and if so, the best time and manner to do so).

Providing us with this information is purely voluntary, and we will not share it with anyone outside of the company. The sole purpose of collecting this information is to give us a better perspective on the needs of our customers with disabilities and how we can better suit their needs.

If you would like to provide us with information, please fill out the form below or download a printable copy to fill out and mail back to us. Alternatively, you can contact a customer service representative by calling the number on your bill and provide the information verbally. We’re dedicated to brining all of our customers the best, most modern services available, and we appreciate you taking the time to help us get there.