AT&T Customer Service Information Request (Port Out)

Note: The form below should be used to request an AT&T CSR.

Refer to the Form Instructions page for detailed information on how to complete the form

Header Information
To: AT&T Local Business and AT&T Consumer VoIP Services
Date & Time
Request Sent: 		:
MM DD YYYY
Transaction Number:
Type of Service: Business (OCNs 7125 / 7421 and UNE-P)
Consumer VoIP (OCN 7125)
Note: Business is pre-selected for your convenience however, you may select Consumer if it applies to your customer. Please select one, not both.
Note: This form is not for AT&T Consumer Resale CSRs (UNE-P / Total Service Resale), please email these requests to RM-tm_huckabay@ems.att.com. Any requests for Consumer Resale CSRs via this web form will be rejected back to the requestor.

Requesting Company Contact
Requesting Company
Name:
Initiator Name:
Initiator Telephone:
Initiator Address:

Means of Response to Requesting Company
Means of response: Email  (You MUST populate the Initiator Email field below)
Initiator Email:
  Note:  Please double check the email address that you have entered.  Make sure it is correct.
If you fail to populate the Initiator Email field with a valid email address, you will not get the requested CSR.
Attention:
End User Authorization
Obtained? 		Yes

Note: If all information on this form is correct and the CSR is found, the CSR will be sent to the requestor within 24 hours.

Customer Location (End User)
Business Name:
Service Address:
City, State, ZIP:
City State ZIP
Billing Telephone
Number(s): 		Please note that area code is required for each entered number, but that the "1-" prefix is not. All numbers are numeric. Anything other than numeric (for example: letters, special characters, etc.) will not be accepted. Submit additional forms if you have more than 12 entries.
Example entry:

 

Response Reasons and Codes (AT&T's Response to Requesting Party)
NOTE: This section for AT&T use only. No entry required or accepted.
Response ID:
Response Descriptions:
 
Acct TN or Customer Location not found 001
Acct TN not with AT&T 002
Incomplete - Incorrect info provided 003
Requested LOA - No Response 004
Incomplete - Incorrect Name 005
Incomplete - Incorrect Address 006
Duplicate 200
Requestor cancelled 201
Acct was with SBC before merger w/ AT&T 300
Acct was with Bell South before merger w/ AT&T 301
CSR Team is not Authorized for Government Accounts 500
LOA Missing 501
Remarks:

Notes:

  • Please print this document before submitting.
  • After you have submitted a CSIR, you can check its status by calling (404) 486-8226.
   Reset.