Cable TV Complaint Form

Contact Information

Please provide the following information to be used for this purpose only (* required field)

Cable Television Provider
Cable Television Services (check all boxes that apply)


Extended Basic

Movie Channels


Complaint (check all boxes that apply)

No picture on any channel

No picture on one or more channels

Fuzzy picture (snow on screen)

Poor sound quality/No sound

Equipment malfunction (e.g., remote control, converter box, cable modem)

Unable to reach company by telephone

Excessive wait time when calling

Difficulty scheduling service call

No show or late on scheduled service call

Difficulty scheduling installation

No show or late on scheduled installation

Billing problem

Damage to property by cable company

Problems with cable modem (slow speeds, down time, no automatic credit, etc.)


Please feel free to provide more details below concerning your specific problem with your cable service or your cable provider.

Service and Provider Rating

Please take a moment to indicate your opinion to the following questions about your cable service and cable provider.

Access to company by phone:

Responsiveness of company:

Courtesy of company:

Overall customer service:

Quality of products:

Frequency of outages:

Rates and fees:

Overall Satisfaction:

Thank You

Thank you for taking the time to register your complaint with the City. This information will be used in an effort to ensure residents of the city are receiving the best possible customer service from the cable companies.