Telecommunications Complaint Form

If you would like to submit the information below by mail, you can print a PDF version of the form here. Once you fill out the form, please mail it to the address below.

Nebraska Public Service Commission

Telecommunications Department

PO Box 94927

Lincoln, NE 68509

Complaint Reported By

First Name: Required

Last Name: Required

Address: Required

Address:

City/Town/Village: Required

State: Required

Zip: Required

Daytime Phone: Required

Home Phone:

Email Address: Required

Preferred Method of Correspondance: Required

Have you contacted the Telephone Company regarding your complaint? Required
If you have a question or complaint about any aspect of your telephone service, contact the company first to give them an opportunity to resolve the issue.

Have you contacted an Attorney about your complaint?

Complaint Against

Name of the Telecommunications Company: Required

Name of the Individual you dealt with:

Complaint with what type of service: Required

What type of issue: Required

Are the Services Disconnected:

Description of the facts in the complaint: Required

Did the Telecommunications company attempt to resolve the issue? If so, please describe:

Describe the resolution you are seeking: Required

Please upload any supporting documents
Total file size for all files cannot exceed 17MB. (pdf, xls, xlsx, doc, docx, jpg, png, gif, tiff, txt)

Options:

The information given above is true to the best of my knowledge and belief. I authorize the Nebraska Public Service Commission’s office to send this complaint form to the company or to the interest parties and to use the information given in any manner which is determined necessary.

I have read and agree to the disclaimer text

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