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

The FCC’s informal complaint process is designed to facilitate a conversation between you and your provider. After submitting a complaint, your information will most likely be shared with your selected provider and the company will have 30 days to respond. Not all complaints will be served on a provider and not all complaints served on a provider will result in the consumer’s desired outcome. The FCC cannot act as your personal lawyer, a court of law, or your legal advisor.

If you want to share information with the FCC and not have your information shared with the selected company, use the Your Story form.

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

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

Add file or drop files here