Trouble Report Trouble Report Acct#* Acct Name* Name on Acct Reporting Contact Name / Relation Contact Name Contact Phone*Date Reported* MM slash DD slash YYYY Service Issue Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Services Affected* Wireless Fiber DSL **Point-to-Point** Phone Router Other (see notes) Issues Reported / Repair Needed* Hard Down Slow Speeds Intermittent Downtime Antenna Re-Mount Service Move ATA / MTA Swap Cable Run Replacement Needed Other (see notes) Equipment Particulars* Current Cambium 3.65 Unit Possible Conversion to Cambium 3.65 Unit Needed Standard Wireless Equipment Customer Expectations Make the customer aware of the new regulations and the potential that during the service call it might be identified that we’ll need to either reschedule the appointment or mount the radio for 24 hours before it is authorized for connectivity. Customer Premise If we expect the radio will be relocated beyond 100’ of its current location and/or beyond 10’ in height then due to the reporting requirements we’ll need to partner with the customer to identify their exact location on Google Earth. Treeline DataCustomer Support NotesRequest Issued by* Miles Briand John Wichner Other Other Rep Name TktID Existing Platypus ticket ID