AT&T Mobility Exigent Form
AT&T Mobility Exigent Form
Business Hours
Open 24 hours per day, 7 days per week
Contact Numbers
Main Phone: (800) 635-6840
Subpoena Information: Option 1
Court Order Information: Option 2
PSAP Requests for Information: Option 4
Facsimile: (888) 938-4715
Wireless ROUTING ISSUES
Call 800-635-6840 Option 4
911 EMERGENCIES
During an emergency, the NCC will provide a subscriber's name, telephone number and location to any
Public Safety Answering Point (PSAP or 911 Emergency Dispatcher). The NCC requires that PSAPs
provide a completed 911 Emergency Services Exigent Circumstances Form (attached) with the request.
If a copy of the form is not available, the form found on the NENA website at
http://www.nena.org/Wireless911/WSPInfoReqForm.pdf may be used if printed on agency letterhead. In
certain emergency situations, where taking the time to complete the form before receiving the information
could result in death or serious injury, the form may be faxed immediately after resolution of the
emergency. The Exigent Circumstances form should be forwarded to (888) 938-4715. Please call the
NCC at (800) 635-6840 option 4 after faxing in the form to receive the requested information.
6/6/2007
911 EXIGENT CIRCUMSTANCES FORM
To: National Compliance Center Tel. (800) 635-6840, Fax: (888) 938-4715)
From: ____________________________________________
This office received a 911distress call for assistance from the above wireless telephone number on
_________________200___ at __________a.m./p.m. Based upon that phone call, we believe that one
or more people face immediate danger of death or serious physical injury. As such, we request that you
promptly provide us with the following information so that we may render assistance to that individual
(or individuals). Check needed information below:
_____ current subscriber name and billing address information for the above-referenced telephone;
_____ cell site or location information for the call placed by the above-referenced telephone to 911.
Signature: _________________________________________________________
Title: _____________________________________________________________
Address 1 _________________________________________________________
Address 2 _________________________________________________________
6/6/2007