Non Technical Credit Request

For technical issues please use the SLA Claim Form found at This form is for non-technical issues to properly route your request to the appropriate group.

  • Complete the Customer and Service Account information
  • Give a detailed explanation as to the reason you are requesting this credit.
  • Select the appropriate category for the credit being requested.
Authorized Requestor's Contact Information
First Name:*   Last Name:*
Contact Phone:*   Email*
Service Account Information
Account Number:*   Company:*
First Name:*   Last Name:*
Address 1:*   Address 2:
City:*   State:*
Postal Code:*   Phone:*
Credit Request Description
Reason you are requesting this credit to your MegaPath service:*
Select the appropriate category for the credit being requested:*

Cancellation not processed timely
Incorrect Pricing
Promotional pricing/discount not applied
Issue with early termination fee
Router was returned and shouldn't be billed
Customer satisfaction

  * Required Fields

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