Wrong Connection Report Form
Please use the Wrong Connection Report Form to provide details about a wrong connection you experienced. Your report helps us investigate and resolve connection issues efficiently.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Location of the Wrong Connection
*
Connection or Channel Type
*
Please Select
Internet
Phone
TV
Mobile App
Website
Other
Date and Time of the Issue
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Brief Description of What Went Wrong
*
What Did You Expect to Happen?
Error Message or Symptoms (if any)
Upload Supporting Evidence (e.g., screenshot or file)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Submit Report
Should be Empty: