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EMERGENCY SERVICE ACKNOWLEDGEMENT

  • Emergency Service Acknowledgement Form

    I, the below-named voice service subscriber, acknowledge that I have been notified of the following concerning the use of 911 from my phone. Under certain circumstances, reliable or accurate 911 service may not be available. Those circumstances could include the following: -Loss of electric power -Loss of internet connection -The address provided for your account is not accurate or has changed -Using a non-native telephone number (a telephone number from an exchange outside the area of BOLT’s services) -If connected and used from a location other than the original location set up by BOLT I also acknowledge I have been provided with a notification sticker to place on my service ONT as a reminder for myself and others in my location

YOU MAY BE ELIGIBLE FOR DISCOUNTED PHONE AND INTERNET SERVICES!

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