Approved by OMB 3060-0874 (Est. average burden per response is 15 minutes). Read Privacy Statement

If you would like to share your experience, please complete this form. In the description field, you can provide specific details about your experience , including the name of the provider, your address and any other information that describes the challenges that you have experienced, including those due to a provider’s practices and polices related to certain terms and conditions of service, such as those concerning speeds, data caps, throttling, late fees, equipment rentals and installation, contract renewal or termination, customer credit or account history, promotional rates, price or how technical support is provided.

By sharing their broadband access stories, consumers will help the FCC to identify barriers experienced by historically unserved and underserved communities and inform the work of the Task Force.


Fields marked with * are required. The submit button will not be active until all required fields are completed.

Web browsers supported: Latest two versions of: Chrome, Firefox, Safari, and Edge.

Your description is important to understanding your situation. Do not include any sensitive information, such as SSN, DOB, driver's license numbers, medical history, etc.

If you have questions about filing complaints about accessibility, please contact the FCC’s Disability Rights Office at dro@fcc.gov, or call 202-418-2517 (voice), 888-835-5322 (TTY) or 1-844-432-2275 (videophone).

Please select how you would like the FCC to respond to you.

If you selected Relay Service as your preferred method of response, please provide the type of Relay Service and contact information. If you selected Other, please provide the method of response.

Please provide the name of the company you are complaining about.

The format of the zip code can be: 20850 or 20850-1234

Please enter the phone number in the following format 555-555-5555

You can click in the field to use a calendar to select a date. If you enter the date it must be in the following format: January 1, 2015

Examples of the time format are: 1:00 pm or 2:45 p.m. or 8:51 P.M.

If you selected other, please provide the name of the subscription service.

Please provide the name of the company and the person you contacted (if known)

You can click in the field to use a calendar to select a date. If you enter the date it must be in the following format: January 1, 2015

Enter the tv channel such as 8 or 8.1

Please provide a detailed description of the emergency (for example, flood, hurricane, tornado, etc., as well as the areas in which the emergency occurred).

Please provide the name, address, website, or e-mail address of the program distributor, provider, and/or owner (for example, "WZUF-CBC.com," "WZUE-TV.com," "SportingchannelWest.com," "TV&MoviesOnline").

Please provide information about the device or software used (for example, type of device, manufacturer, model number, name of video player software or application).

Please provide the approximate date the service or equipment was purchased, acquired, or used (or attempted to be purchased, acquired, or used). You can click in the field to use a calendar to select a date. If you enter the date it must be in the following format: January 1, 2015

What would you like the company to do to solve your accessibility problem?

If you have a PO Box, please enter it in this field.

The format of the zip code can be: 20850 or 20850-1234

Please enter the phone number in the following format 555-555-5555

Please indicate whether you are filing this on behalf of someone else.

The format of the zip code can be: 20850 or 20850-1234

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