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CMP Escalations and Dispute Submittal Form
Inquiry Form
Items marked by a red asterisk (
*
) are required.
*
CLEC Company Name:
*
Action Type:
- select an action type -
Escalation
Dispute
Entering a change request number is optional, but you are required to select a status (select "no change request number" if you choose not to enter a number).
Change Request Number:
*
Change Request Status:
- select one -
Submitted
Clarification
Evaluation
Presented
Pending Prioritization
Prioritized
Development
CLEC Test
Completed
Denied
Deferred
Pending Withdrawn
Withdrawn
*
Description:
*
History of Item:
*
Reason for Escalation / Dispute:
*
Business Need and Impact:
*
Desired CLEC Resolution:
Lead Submitter Contact Information
*
Name:
*
Title
*
Phone Number:
*
E-mail Address:
Joint Submitter Contact Information
Name:
E-mail Address:
Name:
E-mail Address:
Name:
E-mail Address:
Name:
E-mail Address:
