DRAFT Not Approved by OMB
Estimated time per response: 30 minutes
Form 1088H – Call or Message to Toll-Free Number
(800, 888, Etc.) or Any Other Service (Except Wireless)
for Which the Called Party is Charged Complaint
Background information is at the end of this section.
First Name: _______________________ Last Name: ___________________
Company Name: ______________________________________________________________________
(Complete only if you are filing this complaint on behalf of a company or an organization.)
Street Address or Post Office Box Number: ________________________________________________
City: ___________________ State: ___________________ Zip Code: ___________________
Telephone Number: (____) ____ - _______ Ext: _____
Background information is at the end of this section.
1. Telephone number where you received the call(s) (____) ____ - _______
2. When did you receive the call(s)? Date ___/___/____ Time ___:___ AM PM
3. Did you receive caller ID information for the call(s) in question?
___Yes ___No ___Don’t have caller ID (If you answer No or Don’t Have, skip to question 4.)
Information obtained through caller ID: (____) ____ - _______
Business name _____________________________________________________________________
Did the caller ID information accurately report the name and/or calling number for the call in question?
___No How did you determine it was not accurate? _______________________________________
4. Was the following information provided DURING the call/message?
Name of the business, individual, or other entity responsible for the call/message ___ Yes ___ No
Name(s) provided __________________________________________________________________
Was this provided at the beginning of the call/message? ___ Yes ___ No
Business telephone number for the entity responsible for the call/message ___ Yes ___ No
Numbers provided: (____) ____ - _______ (____) ____ - _______
Other information provided __________________________________________________________
Did you listen to the entire call/message? ___ Yes ___ No
5. Did the call/message indicate any emergency purpose (a necessary communication in any situation affecting the health and safety of consumers)?
___Yes ___ No (If you answer No, skip to question 6.)
6. Did you or anyone at your facility give prior express permission for the call(s) to be made?
7. TYPE OF CALL(S) Select one:
___Live (voice) call
___“Dead air” or automated tones
___None of the above
8. Did any message disconnect promptly (within about 5 seconds) after you hung up?
___No Describe ___________________________________________________________________
Continue to the Attestation Page to Complete Your Complaint
The FCC prohibits the use of automatic telephone dialing systems or prerecorded messages to call any service for which the called party is charged for the call unless the call is made for an emergency purpose or with the called party’s prior express permission. Toll-free numbers (800, 888, 877, 866) are one service that imposes charges for calls upon the called party.
You may not know whether or not a call you received used an automatic dialing system. Calls to multiple telephone lines in quick succession often involve an automatic dialing system. Automatic dialing systems are used by many entities that regularly make calls to large numbers of telephone lines including telemarketers who rely heavily on such systems to conduct their business.
Determining whether an automatic dialing system has been used to make a particular call can be difficult. The more details you are able to provide, the greater the likelihood that the FCC will be able to determine whether a violation has occurred that could lead to an enforcement action.
ATTEST TO THE ACCURACY OF YOUR COMPLAINT Thank you for filing your complaint. Your complaint will be most useful to us if you execute this sworn statement. The FCC will make every effort to take enforcement action against any party who violated the FCC's rules.
Fill in the blanks below and then check the “EXECUTE” box, to declare under penalty of perjury that the information you have provided is, to the best of your knowledge, true and correct.
I declare under penalty of perjury that (1) I am over 18 years old, (2) I am authorized to make decisions regarding the telephone number listed below, and (3) the information I have provided today on this Federal Communications Commission form is, to the best of my knowledge, true and correct.
___________________________________(name) ____________________(date) EXECUTE
(____) ____ - _______ (telephone number where you received the call(s) that is the subject of your complaint)
FCC NOTICE REQUIRED BY THE PAPERWORK REDUCTION ACT AND THE PRIVACY ACT
The Federal Communications Commission is authorized under the Communications Act of 1934, as amended, to collect the personal information that we request in this form. This form is used for complaints that involve (1) junk faxes, (2) telemarketing (including do-not-call violations), and (3) other related issues such as prerecorded messages, automatic telephone dialing systems, and unsolicited commercial email messages to wireless telecommunications devices. The public reporting for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the required data, and completing and reviewing the collection of information. If you have any comments on this burden estimate, or how we can improve the collection and reduce the burden it causes you, please write to the Federal Communications Commission, OMD-PERM, Paperwork Reduction Project (3060-0874), Washington, DC 20554. We will also accept your comments regarding the Paperwork Reduction Act aspects of this collection via the Internet if you send them to [email protected]. PLEASE DO NOT SEND YOUR COMPLETED FORMS TO THIS ADDRESS.
Remember - You are not required to respond to a collection of information sponsored by the Federal government, and the government may not conduct or sponsor this collection, unless it displays a currently valid OMB control number or if we fail to provide you with this notice. This collection has been assigned an OMB control number of 3060-0874.
In addition, the information that consumers provide when filling out FCC Form 1088 is covered by the system of records notice, FCC/CGB-1, Informal Complaints and Inquiries File (Broadcast, Common Carrier, and Wireless Telecommunications Bureau Radio Services). The Commission is authorized to request this information from consumers under 47 U.S.C. 206, 208, 301, 303, 309(e), 312, 362, 364, 386, 507, and 51; and 47 CFR 1.711 et seq.
Under this system of records notice, FCC/CGB-1, the FCC may disclose information that consumers provide as follows: when a record in this system involves a complaint against a common carrier, the complaint is forwarded to the defendant carrier who must, within a prescribed time frame, either satisfy the complaint or explain to the Commission and the complainant its failure to do so; where there is an indication of a violation or potential violation of a statute, regulation, rule, or order, records from this system may be referred to the appropriate Federal, state, or local agency responsible for investigating or prosecuting a violation or for enforcing or implementing the statute, rule, regulation, or order; a record from this system may be disclosed to a Federal agency, in response to its request, in connection with the hiring or retention of an employee, the issuance of a security clearance, the reporting of an investigation of an employee, the letting of a contract, or the issuance of a license, grant or other benefit; a record on an individual in this system of records may be disclosed, where pertinent, in any legal proceeding to which the Commission is a party before a court or administrative body; a record from this system of records may be disclosed to the Department of Justice or in a proceeding before a court or adjudicative body when: (a) the United States, the Commission, a component of the Commission, or, when represented by the government, an employee of the Commission is a party to litigation or anticipated litigation or has an interest in such litigation, and (b) the Commission determines that the disclosure is relevant or necessary to the litigation; a record on an individual in this system of records may be disclosed to a Congressional office in response to an inquiry the individual has made to the Congressional office; a record from this system of records may be disclosed to GSA and NARA for the purpose of records management inspections conducted under authority of 44 U.S.C. 2904 and 2906. Such disclosure shall not be used to make a determination about individuals.
In each of these cases, the FCC will determine whether disclosure of the information in this system of records notice is compatible with the purpose for which the records were collected. Furthermore, information in this system of records notice are available for public inspection after redaction of information that could identify the complainant or correspondent, i.e., name, address and/or telephone number.
THE FOREGOING NOTICE IS REQUIRED BY THE PAPERWORK REDUCTION ACT OF 1995, PUBLIC LAW 104-13, OCTOBER 1, 1995, 44 U.S.C. SECTION 3507 AND THE PRIVACY ACT OF 1974, PUBLIC LAW 93-579, DECEMBER 31, 1974, 5 U.S.C. SECTION 552a(e)(3).
|File Title||BOLD questions are required|
|Last Modified By||cathy.williams|