ADSL Order Form

ADSL Fault Report

Please take the time to fill in the form below as we may be able to solve your issue from your answers or it will help us to get a better understanding of the problem. If the ATM light is lit and you are unable to gain anyform of connectivity to Fibrecity please Click Here
Please take time to make sure you fill in all the fields.
ThankYou

1.) Telephone number of adsl line in question
2.) CBUK number of Line
3.) IP attempting to use
4.) Has the ADSL Service ever worked	Yes No
5.) Are Filters plugged into all outlets	Yes No
6.) Does the Telephone work on the ADSL line	Yes No
7.) Is site configured to use filters or SSFP	Filters SSFP
8.) Customer Contact if BT are required to gain access
9.) Contact Number
10.) Alt. Contact Name
11.) Alt. Contact Number
12.) Your Email
13.) Your ADSL UserName
14.) If using a router please input relevant details from a debug
15.) Equipment used (ie Router/modem/make & model) click here for info
16.) Output of username and password test 1 click here for info
17.) Output of username and password test 2 click here for info
18.) Detailed description of fault
19.) Your Reference

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