Customers My Nctc Voicemail Directory Contact & Support TV Listings Local TV This Week Blog – News, Happenings, etc. Email Pay Bill Bundles TV Service Phone Internet BLAST WiFi Business Security About Us Contact Us Careers Equipment Customer IDPrevious form submission Service Order Number* Type* Trouble Order Customer Name* Phone Number* eLation Acct# Exchange*841 - Bethpage - Sumner Co774 - Defeated - Smith Co655 - Green Grove - Macon655 - Green Grove - Sumner655 - Green Grove - Trousdale633 - Hillsdale - Macon Co633 - Hillsdale - Trousdale Co688/666 - Lafayette - Lafayette City688/666 - Lafayette - Macon Co888 - Oak Grove - Sumner Co677 - Pleasant Shade - Smith Co699 - RBS - Clay Co699 - RBS - RBS City699 - RBS - Macon Co618/622 - Scottsville - Scottsville City618/622 - Scottsville - Allen Co237/239 - Scottsville - Scottsville Clec644 - Westmoreland - Macon Co644 - Westmoreland - Westmoreland City644 - Westmoreland - Sumner Co450/808- Hartsville Clec Trousdale CoHow many STB boxes do you have?1234567891011121st STB BOXSTB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Serial # Mac ID Mac ID #2 if Hydra Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 2nd STB BOX2nd STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 3rd STB Box3rd STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 4th STB BOX4th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 5th STB BOX5th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 6th STB BOX6th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 7th STB BOX7th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 8th STB BOX8th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 9th STB BOX9th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 10th STB BOX10th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 11th STB BOX11th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No 12th STB BOX12th STB-TypeHydraAmulet(s)Amulet F1Amulet 455Amulet 505Kamai 400Kamai 500Box ChannelHDMI 1HDMI 2HDMI 3HDMI 4Channel 3Channel 10Channel 23Channel 39Channel 44AV 1AV 2AV 3Color Stream 1Color Stream 2Color Stream 3Comp 1Comp 2Comp 3Other Box Serial # Box Mac ID Box Mac ID #2 if Hydra Box Mac ID #3 if Hydra HD or SD HD SD DVR Yes No OTHER EQUIPMENTDid you replace/install other equipment?YesNo# Remotes1234567Types # of Streams1234567# Shared Streams1234567Ext DVR1234567Serial # HPNA1234567Power Grid1234567Wireless Power Grid1234567Surge protector/Power Strip(s)1234567Switch RF Modulator1234567Wireless AP/Client12345678910HDMI cables1234567Wall Phone(s)1234567Desk Phone(s)1234567ProfileIPTVDSLFiberONT DBM Value MODEMS AND ROUTERSDid you replace/install a Modem or Router?YesNoHow many Modems?12How Many Routers?12Modem #1Existing / Installed Router/ModemsInstalledReplacedExistingModem #1 Serial (If ONT is used as modem, enter the serial number and mcac ID in ONT section)Modem Mac ID (If ONT is used as modem, enter the serial number and mcac ID in ONT section)Type modemComtrend 3112Comtrend 5312Comtrend 5361Comtrend 5374Comtrend 5381Comtrend 5621TrendnetNetgearWireless Yes No UsageTVInternetTV & InternetModem #2Existing / Installed Modem/RouterInstalledRelacedExistingModem #2 Serial (If ONT is used as modem, enter the serial number and mcac ID in ONT section)Modem Mac ID (If ONT is used as modem, enter the serial number and mcac ID in ONT section)Type modemComtrend 3112Comtrend 5312Comtrend 5361Comtrend 5374Comtrend 5381Comtrend 5621TrendnetNetgearWirelessYesNoUsageTVInternetTV & InernetRouter #1FSAN Serial Provided Login/Password/Pin/User Guide to CustomerYesNoRouter Mac ID Type RouterComtrend 3112Comtrend 5313Comtrend 5361Comtrend 5374Comtrend 5381Comtrend 5621TrendnetNetgear844 5GHZ Wireless RouterWireless Yes No UsageTVInternetTV & InternetRouter #2FSAN Serial Provided Login/Password/Pin/User Guide to CustomerYesNoRouter Mac ID Type RouterComtrend 3112Comtrend 5312Comtrend 5361Comtrend 5374Comtrend 5381Comtrend 5621TrendnetNetgear844 5GHZ WirelessWireless Yes No UsageTVInternetTV & InternetCustomer ChecklistProvided Login / Password /Pin / User Guide to Customer Yes No Toggle Channel / Power / Volume on Remote(s) Yes No ONT'sDid you replace/install ONT's?YesNoONT Type716716 GE-I717762766ONT / Battery Backup Installed Replaced BB Location ONT FSAN ONT ONU Mac ID MiscellaneousDid you replace/install miscellaneous?YesNoSplice KitsGator Kits8985-8882 3M Gel Kit8984-8882 EM Gel Kit8983 3M Gel KitExisting NID/DropreplacedremovedrepariedNumber of Jacks installed123456789101112RG6 install Footage Cat 5e/6 Install footage #6 Ground Wire Install Footage OTHERDamages Yes No ExplainAdditional InformationCompleted by Employee #* Truck #* Δ