Get How To Report An Unsafe Condition To At&t Form

Filing a report regarding an unsafe condition is crucial for ensuring safety and compliance. This guide will provide clear and concise instructions on how to accurately fill out the How To Report An Unsafe Condition To AT&T Form online.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the Licensee Tracking Number in the designated field. This number is typically provided by the licensing authority.
3. Fill in the Date Submitted field with the date you are completing the form.
4. Provide the License Agreement Number, which can be found in your licensing documents.
5. Input the AT&T Tracking (SAM) Number, if available.
6. State the name of the Company Making Application in the relevant field.
7. Identify the Authorized Licensee Representative who is reporting the unsafe condition.
8. Provide the Telephone number for the representative listed.
9. Enter the Fax number if applicable.
10. Fill in the Street Address of the unsafe condition location.
11. Insert the City where the condition is noted.
12. Specify the State associated with the location.
13. Detail the Zip Code of the area in question.
14. Describe the unsafe condition in the Explanation field clearly and thoroughly.
15. Select the urgency of the condition by marking one of the options (immediate action, next business day, or other). If 'other' is selected, provide further explanation.
16. Leave the Date Received by AT&T field blank for them to fill upon receipt of the form.
17. AT&T Representative field can be left blank for AT&T to complete.
18. Referred to field can also remain blank for AT&T's input.
19. Provide a telephone number for further contact regarding the report.
20. Add any additional Comments if relevant.
21. Attach any necessary documentation detailing the infractions or unsafe conditions.
22. Finally, once all fields are completed, review the form for accuracy. You can then save changes, download, print, or share the completed form as needed.

Take action now and complete your report by filling out the form online.