Product: TV
Approved by OMB 3060-0874 (Estimated average burden per person is 15 minutes.)
Email address
Subject
TV issue
Availability
Billing
Equipment
Set top boxes
Cable cards
Other (use description field)
Indecency
Interference
From CB
From amateur radio
Other (use description field)
Loud commercials
OI/Net Neutrality
Blocking
Data caps
Speed
Throttling
Inaccurate disclosures/Transparency
Other (use description field)
Programming
TV method
Cable
Satellite
Fiber
Over the air
Time of your issue/problem
Date of your issue/problem
TV channel
Name of the commercial’s advertiser/sponsor and/or product involved
Network
Name of TV program
Did you watch the commercial on a local broadcast television station?
City where program was viewed/heard
State where the program was viewed/heard
Company name
Account number
First name
Last name
Address
City
State
Zip code
Phone (where you can be contacted)
Filing on behalf of someone
If yes, your relationship (on behalf of)
First name (on behalf of)
Last name (on behalf of)
Company name (on behalf of)
Address (on behalf of)
City (on behalf of)
State (on behalf of)
Zip code (on behalf of)
Description of complaint
Can the FCC share your description of your complaint with the public on our website? y/n
Attachments
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Kimberly Wild |
| File Modified | 0000-00-00 |
| File Created | 2021-01-23 |