1. FCC Complaints
  2. Submit a request

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.

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

Provide the type of device (such as a cellphone, smartphone, or computer).

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

Please provide the approximate date when you became aware of the accessibility problem. 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

Please describe the way the service or equipment is not accessible or usable.

If you contacted anyone in the company about this accessibility problem before filing this Request for Dispute Assistance, please provide the date, name of the person or department you contacted, and the phone number, if available. Please describe what happened when you contacted the company.

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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