Approved by OMB 3060-1296 (Est. average burden per response is 1 hour).

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Submit a request

Your email address

Subject

Call or Text Message Issue

Entity Type

Private Entity Name

Private Entity Street Address

Private Entity City

Private Entity State

Private Entity Zip Code

The format of the zip code can be: 20850 or 20850-1234

First Name of Private Entity Point of Contact

Last Name of Private Entity Point of Contact

Phone Number of Private Entity Point of Contact

Please enter the phone number in the following format 555-555-5555

Date of Relevant Call(s) or Text Message(s)

If reporting multiple calls then provide the date of the first call. If you have additional dates to report, please upload a file as an attachment below.

Time of Relevant Call(s) or Text Message(s)(optional)

If reporting multiple calls then provide the time of the first call. Examples of the time format are: 1:00 pm or 2:45 p.m. or 8:51 P.M.

Time Zone(optional)

Did you receive caller ID information?

Caller ID Number Displayed(optional)

Caller ID Name Displayed(optional)

Telephone Number(s) that Received the Call(s) at Issue

Enter the first telephone number. If you have additional numbers to report, please upload a csv file as an attachment below.

Name of Private Entity’s Voice Service Provider for the Number(s) that Received the Call(s) or Text Message(s) at Issue(optional)

Description

Provide any additional details about your robocalling and/or spoofing incident.

Attestation

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 electronic form is, to the best of my knowledge, true and correct.

Attachments(optional)

Add file or drop files here