FCC Notification of Service Outage Report

Fill in all spaces

Blanks will invalidate your filing! Use 'NA' if the question on the form does not apply.


Select Carrier Name


Will more reports regarding this outage be filed? If not, select the 'One Report Filed' button below:


Duration of Outage
From:
Time Outage Occurred (use 24 hour time (hours:minutes)) :
Total duration: hours and minutes

Comments on Duration:


Geographic Area Affected (please be as specific as possible):


Estimated Number of Customers Affected (generally interpretted to mean end user access lines.) For outages that also affect other carriers please specifically indicate if the estimates include or exclude the other carriers's customers:


Was 911 Service Affected?


Type of Service(s) Affected:


Estimated Number of Blocked Calls:


Apparent or Known Cause of the Outage

Describe the Cause of the Failure:


What Type of (include make and model) Equipment Failed. Do not include other equipment that was affected by the failure:


Specific Part of Network Involved:


Method(s) Used To Restore Service:


Steps Taken to Prevent Recurrence of Outage:


For the revised (1/2000) documentation of best practices, click here. www.fcc.gov/outage/nrcoutage.htm

For the following section, choose the applicable Best Practice(s) from the pull-down box on the left and provide
commentary in the text box to the right. You may indicate up to five Best Practices used.
If you wish to indicate fewer than five Best Practices, simply leave the unused boxes at the default 'Choose one' setting.

If the practice was applied please be sure to checked the used button beneath the Best Practice Comment Box.

Best Practice(s) Applicable:
Was the Best Practice Above Used?:

Was the Best Practice Above Used?:

Was the Best Practice Above Used? :

Was the Best Practice Above Used?:

Was the Best Practice Above Used?:


Would the use of any of the Best Practice(s) Above Prevent This Outage?:


Analysis of Effectiveness of Best Practice(s):


Additional Comments:


Contact Information

Contact's Name:
Contact's Title:
Contact's Phone Number:
Contact's FAX Number:
Contact's E-mail Address: