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Submit Your Customer Profile

You can fill out the below form to set up your relay profile. With a relay profile, your relay calls will be set up and go much faster. The relay profile is linked to your telephone number; if you change telephone numbers, feel free to submit another profile form and customer service will take care of it for you.

If you have any questions regarding specific parts of the form, you can check on this website for the Customer Database Profile section. If your question is unable to be answered online, please call relay customer service at 1-800-676-3777.

Your profile form will take 2 business days to process.

Fields marked with a * are required.

Personal Information


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Call Types

Answer Type

Language Type

Long Distance Profile
Intralata (in State):

Interlata (out of State):

Preferred billing method:

Outdial Restrictions

Long Distance Calls

International

800#

900#

Operator Assistance

Directory Assistance

Marine (on-sea)

#976

Phone Numbers Profile

Frequently Dialed Numbers

( Please Note: Limit 9 Characters per Name. )

Frequently Dialed Name # 1

Name

Phone Number

Frequently Dialed Name #2

Name

Phone Number

Frequently Dialed Name # 3

Name

Phone Number

Frequently Dialed Name # 4

Name

Phone Number

Frequently Dialed Name # 5

Name

Phone Number

Frequently Dialed Name # 6

Name

Phone Number

Frequently Dialed Name # 7

Name

Phone Number

Frequently Dialed Name # 8

Name

Phone Number

Frequently Dialed Name # 9

Name

Phone Number

Frequently Dialed Name # 10

Name

Phone Number

Emergency Numbers

Emergency Name # 1

Name

Phone Number

Emergency Name # 2

Name

Phone Number

Emergency Name # 3

Name

Phone Number

Emergency Name # 4

Name

Phone Number

Emergency Name # 5

Name

Phone Number

Emergency Name # 6

Name

Phone Number

Emergency Name # 7

Name

Phone Number

Emergency Name # 8

Name

Phone Number

Emergency Name # 9

Name

Phone Number

Emergency Name # 10

Name

Phone Number

Caller ID Blockage

(Check the box if you DO NOT want to send your telephone number to a Caller ID Device.)

Customer Notes

Note #1

Note #2

Note #3