California Relay Service: Customer Profile: Speech-to-Speech (STS)

1. Customer Information

Home Phone Number*

Available:

Day of week and time of day available at this number:

Day(s):

From

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*

First Name

Last Name

Address*

Address (Line 1)

Address (Line 2)

City

State

Zipcode

Email Address*

Mailing List Signup

Please include me on the California Relay Service mailing list.

Please include me on the Hamilton Relay mailing list.

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.

Password*

Choose 7 letters and/or numbers for Password

PIN*

Choose 4 numbers for PIN

3a. Making Relay Calls

Every time I CALL Relay, I use…

Language (select one)

English

Spanish

Call Type (select one)

Speech-to-Speech (STS)

TTY

Hearing Carry Over (HCO) Option

Hearing Carry Over (HCO)

Select HCO Option

Voice Option

Voice only

Select Voice 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)

English

Spanish

Call Type (select one)

Speech-to-Speech (STS)

TTY

Hearing Carry Over (HCO) Option

Hearing Carry Over (HCO)

Select HCO Option

Voice

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.

My long distance company is:

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.

Long Distance Company

You may also use a Calling Card for payment.

Calling Card Name

Calling Card Number

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

Before dialing, I want CAs to ask me: “Shall I tell the party who is calling?”

Identify STS

I want CAs to identify the use of STS to the other party.

Explain STS

I want CAs to explain STS to the other party.

Say First Name

I want CAs to say my first name to the people I call.

Name:

Example: “This is Bob calling you through California Relay Service CA This is Hamilton Relay CA#4444. Have you received a STS call before?”

Tell People

I want CAs to tell the people I call that I am speech disabled.

Example: “A person who is speech disabled is calling your through California Relay Service CA. This is Hamilton Relay CA# 4444. Have you received a STS call before?”

Never Explain

(NE)

Never explain how to use the relay to any person I call.

My Hello

Use “My Hello” when CAs greet me.

CAs will greet the people you call this way:

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 STS 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.

900/976/800

Specific Blocked Numbers

Toll Free Blocked Number #1

Toll Free Blocked Number #2

Toll Free Blocked Number #3

Toll Free Blocked Number #4

Toll Free Blocked Number #5

International

Specific Blocked Numbers

International Blocked Number #1

International Blocked Number #2

International Blocked Number #3

International Blocked Number #4

International Blocked Number #5

Directory Assistance

Specific Blocked Numbers

Directory Assistance Blocked Number #1

Directory Assistance Blocked Number #2

Directory Assistance Blocked Number #3

Directory Assistance Blocked Number #4

Directory Assistance Blocked Number #5

Operator Assistance

Specific Blocked Numbers

Operator Assistance Blocked Number #1

Operator Assistance Blocked Number #2

Operator Assistance Blocked Number #3

Operator Assistance Blocked Number #4

Operator Assistance Blocked Number #5

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 STS	Type of Call
		STS
		STS
		STS
		STS
		STS

9. Notes

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

Notes

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

California Relay Service: Customer Profile: Speech-to-Speech (STS)

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