Cable TV Complaint Form

Contact Information
Please provide the following information to be used for this purpose only (* required field):

* First Name

* Last Name

* Address

* City

* Phone Number

Email Address

Current Cable Television Provider:

Current Services (check all boxes that apply):

Basic Expanded Basic Movie Channels Internet

Please check any items below that apply to your complaint:

No picture on any channel
No picture on one or more channels
Fuzzy picture (snow on screen)
Poor sound quality/No sound
Equipment malfunction (e.g., remote control, converter box, cable modem)
Unable to reach company by telephone
Excessive wait time when calling
Difficulty scheduling service call
No show or late on scheduled service call
Difficulty scheduling installation
No show or late on scheduled installation
Billing problem
Damage to property by cable company
Problems with cable modem (slow speeds, down time, no automatic credit, etc.)

Please feel free to provide more details below concerning your specific problem with your cable service or your cable provider:

Please take a moment to indicate your opinion to the following questions about your cable service and cable provider.

Access to company by phone:

Responsiveness of company:

Courtesy of company:

Overall customer service:

Quality of products:

Frequency of outages:

Rates and fees:

Overall Satisfaction:

Thank you for taking the time to register your complaint with the City. This information will be used in an effort to ensure residents of the city are receiving the best possible customer service from the cable companies.

THANK YOU!