911 Ani/ali Inquiry Form (10/19/06) - Metropolitan Emergency Services Board
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1911 ANI/ALI INQUIRY FORM
(10-19-06)
Submit to Metropolitan Emergency Services Board Via 911 NET
PSAP
DATE OF CALL:_____________________TIME OF CALL: __________
_____________
(submitting this form):
TYPE OF ERROR BEING REPORTED:
________
No Record Found:
Incorrect Address:
_____________
Incorrect Call Back # (Wireless only):
_____________
____________ }
Misrouted Call:
Incoming 911 Trunk # _______________________
DISPATCHER :____________________ COMMENTS: __________________________________________________________
10 digit ANI: _____
_____
_____ — _____
_____
_____ — _____ _____ _____ _____
(Always include Area Code)
(prefix)
:
BUSN____ RESD____ PBX____ CNTX____ PAY$_____ COIN_____ WRLS ______
CLASS OF SERVICE
CORRECT INFORMATION
WIRELINE
DISPLAYED INFORMATION
PSAP:
PSAP:
ANI : ( __________) _____________ —_____________________ ANI: ( _________) ______________ — ____________________________
NAME:
NAME:
STREET:
STREET:
CITY:
CITY:
Location Information:
TELCO ID: _____________ Location Information:
TELCO ID: ______________
ESN:
ESN:
WIRELESS
DISPLAYED INFORMATION
CORRECT INFORMATION
PSAP:
PSAP:
Pseudo-ANI:
CELL ID:
CALL BACK: #
CALL BACK: #
Location Information:
Location Information:
TELCO ID:
TELCO ID:
______________________________________________________________________
911 Coordinator Remarks:
____________________________________________________________________________________
Intrado Remarks:
____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________
: _______________________
: ____________________________
Date sent to Intrado
Returned from Intrado
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Parent category: Business