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211 Technical Difficulty Form

Please fill out all the fields below about your 211 technical difficulty. Thank you so much for your help.

What phone number did you call from? (Necessary to address problem with phone carrier): *

Who is your service provider on that phone?: *

What kind of phone is this?: *

Cell phone

Landline

Business landline

VOIP (Internet phone)

What day and time did you make the call? (the more specific you can be the better): *

Where were you when you made the call? (The more specific you can be on the address - exact address, cross streets, etc. - the better.): *

What did you hear when you called? (Dead air? A message? what did it say?): *

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