Enter the mobile phone number associated with the issue. NOTE: 11 digits with 1 before area code, no spaces, dashes, or parentheses. Example: 14045551234
Which wireless carrier provides your service?
Please select one of two options below. If the consumer is NOT requesting to be removed from a service, choose 'Other or Not Specified' and enter details in the Description Field below.
Use the Description Field to provide any information that may further assist us with resolving the subscriber's issue, especially if Other is selected for Customer Issue.
Enter a valid customer email address. If the customer does not wish to provide an email address, enter YOUR own email address on the subscriber's behalf. This email address will only be used to request additional information or to provide resolution status. Note: Service cancellations will still be processed. Consumers can expect to receive an immediate email acknowledging receipt of their request and a follow up email in 2-3 business days with the status of their request.