CSI/CSR Request Form
Service & Equipment

NTS Account Number: *

Date Requested * +

Type of Service *

Do you hold an LOA? *

Yes

Current Provider * 🛈

Current Provider's Account Number *

Customer First Name *

Customer Last Name *

Customer Business Name *

Service Address *

Apt/Suite/Room/LOC

City *

State *

Zip code *

Porting Representative *

Porting Company *

Email Address for Response: * 🛈

Additional Email Address for Response:

How Many TN's Are You Requesting a CSR/CSI for? *

Less than 10

More than 10

Type in each TN Here *

List TN or TN ranges here. *

CSRs, involving accounts with up to 10 lines, shall be provided within 24 business hours (excluding weekends and holidays). For accounts with 11 lines or more, OLSP shall contact the NLSP within 24 business hours to negotiate a reasonable response interval. (The date the request is received shall be considered business day 1 if the request is received by 3:00 pm.)

CSI/CSR Request Form Service & Equipment

CSI/CSR Request Form
Service & Equipment