Product: Accessibility
Approved by OMB 3060-0874 (Estimated average burden per person is 15 minutes.)
Email address
Subject
Accessibility issues
Closed captioning on TV
Closed captioning over the Internet
Emergency information on TV
Hearing Aid compatibility of wireless phones
Hearing Aid compatibility of wireline phones
TRS
Video description
Preferred method of response
Name of company complaining about
City of company complaining about
State of company complaining about
Zip code of company complaining about
Phone number of company complaining about
Please provide the model of the telephone
Hearing aid compatibility make
Date of your issue/problem
Time of your issue/problem
Your TV method
TV channel
Call sign
Network
Name of TV program
City where program was viewed/heard
State where program was viewed/heard
Program distributor/owner
Device of software used to view program
First name
Last name
City
State
Zip code
Phone (where you can be contacted)
Filing on behalf of someone (y/n)
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
Can the FCC share your description of your complaint (minus PII) 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 | 2021-07-16 |