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California Relay Service: Customer Profile: DeafBlind (DBS)

1. Customer Information
Available:
Day of week and time of day available at this number:
Day(s):
From
AM/PM
To
AM/PM

If you have another number you would like to profile (such as a work number), please complete another form with the customized profile options you would like to be used for that number.

Name*
Address*
Mailing List Signup
2. Multi-User Profile/Remote Profile

Password + Personal Identification Number (PIN)

The multi-user/remote feature is of great benefit if you have more than one relay user living in your household or if you are away from your primary phone number. The Password and PIN ensures that you are the only person who can make changes to your profile. When accessing your profile from another location (remotely), please provide the CA with your 7-digit Password (alphanumeric) and 4-digit PIN (secret number) so the CA can access your profile options.

Choose 7 letters and/or numbers for Password
Choose 4 numbers for PIN
3a. Making Relay Calls

Every time I CALL Relay, I use…

Language (select one)
Call Type (select one)
Hearing Carry Over (HCO) Option
TTY Option
3b. Answering Relay Calls

If you live with a person who answers Relay differently than you, skip this section.

Every time I ANSWER a Relay call, I use…

Language (select one)
Call Type (select one)
Hearing Carry Over (HCO) Option
TTY Option
4. Long Distance Company

You will not be charged for local or long distance calls. However, there are situations when payment is necessary. That includes:

  • International Calls
  • Directory Assistance
  • Pay Phones
  • Pay-Per-Call Services

Please choose your long distance company from the list provided. If you leave this blank, your bill will come from AT&T.

If you do not see your long distance telephone company on the list, please provide the company name and the customer service number for the company.

You may also use a Calling Card for payment.

5. Preference Settings
Preferred CA Gender:
Relay Background Noise:
Relay Tone of Voice:
Retain Information from one inbound call for subsequent calls:
Long holding times requested:
DBS user reads slowly so patience is required:
Request CA talk slowly to the called party:
I want the CA to confirm call handling preferences before dialing my requested number:
I give permission for callers to ask to call me by name rather than by telephone number:
Verbatim - do not translate ASL to English:
Abbreviations:
Caller ID Blocking:
Slow Typing - CA will type slowly:
6. Role of the CA

You can customize how CAs identify relay to the person you are calling if so desired.

Tell Who Is Calling
Identify DBS
Explain DBS
Say First Name
Example: “This is Bob calling you through California Relay Service CA This is Hamilton Relay CA#4444. Have you received a DBS call before?”
Tell People
Tell Options
Example: “A person who is DeafBlind is calling your through California Relay Service CA. This is Hamilton Relay CA# 4444. Have you received a DBS call before?”
Never Explain
Never explain how to use the relay to any person I call.
My Hello
Example: “Hi, Bob here. How are you?”
Other Standard first thoughts:
Standard message to leave on answering machine:
(identify caller by name, request call back, specify call back number, and provide the DBS relay telephone number)
Other Special Instructions to the CA:
7. Restrictions

Select the types of calls that you do not want made from your telephone. If you check any on this list, you will not be able to make those types of calls through the relay.

Specific Blocked Numbers
Specific Blocked Numbers
Specific Blocked Numbers
Specific Blocked Numbers
8. Speed Dialing

You may save up to 50 speed dial numbers. Be sure to include the area code with the phone number.

Name Phone Number Familiar with DBS Type of Call
9. Notes

Provide any additional call handling instructions or information for the CA here:

You’re Almost Finished!

Thank you for completing your California Relay Service Customer Profile. If you have any questions about your Profile, please contact Customer Care. To print a copy of this form for your records, go to the File menu of your browser and select Print before submitting the form. Your Customer Profile should be activated within 24-72 hours of receipt. All customer information is kept confidential. If you are satisfied with your Profile and ready to submit your information, click on Complete My Profile below.

 
Complete My Profile

* Required information

Live Chat is available during the following hours:

Monday – Friday:
8:30 AM to 12:30 AM Eastern

Saturday, Sunday:
11:00 AM to 6:30 PM Eastern