Maryland Relay: Customer Profile

1. Customer Information

Phone Number*

Additional Phone Numbers

Used by caller when contacting Maryland Relay

Additional Phone #1

Additional Phone #2

Email Address*

Name*

First Name

Last Name

Address*

Address (Line 1)

Address (Line 2)

City

State

Zipcode

Please indicate the best way to contact you*

Phone Type

Phone

Select Phone Type

U.S. Mail

Fax Number

Fax

Provide Fax Number:

2. Relay Calls Connection Mode

When I MAKE and ANSWER a relay call, I use…

This section allows you to select the way you want to CONNECT TO Relay.

Language (select one)

English

Spanish

When available, I prefer the gender of the OPR relaying my call to be:

Male

Female

Do Not Care (N/A)

Text-Based Relay Connections:

TTY

ASCII

Voice

Voice Carry Over (VCO) Option

Voice Carry Over (VCO)

Select VCO Option

Hearing Carry Over (HCO) Option

Hearing Carry Over (HCO)

Select HCO Option

If you do not use Speech-To-Speech, skip to section 3.

Speech-to-Speech Relay Connections:

Repeat

I want the OPR to repeat everything I say:

Repeat Options

Let the other person hear me

Don’t let the other person hear me

Assist

OPR assist as needed by other party:

Assist Options

Automatically

When requested by either party

VA STS

I use Visually Assisted Speech-to-Speech.

If yes, please list your Skype™ username.

Standard Message for OPRs to Leave on Answering Machines:

Example: “Hi, this is Bob. Please call me back through STS Relay at 877-735-1007 and ask the OPR to dial my number 123-555-4567.”

3. When I MAKE and RECEIVE a relay call, I want to use…

Check the service you want with EVERY relay call you make or receive.

Relay Options:

Translation

– Translate ASL to conversational English.

Spell Check Turned Off

Relay that the OPR has checked the spelling of proper names

Relay Background Noise

Relay Tone of Voice

No Abbreviations

Abbreviate Auto Message

Typing Speed Buffer

– Text appears on screen beginning at 10 wpm and may be increased in increments of 5 up to 45 words per minute.

Preferred Typing Speed

4. Calling a Captioned Telephone User

Voice To CapTel

I am a voice user who wants to call a CapTel user.

5. 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:

6. Greetings

Choose How the Operator will Announce Relay

Say First Name

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

Name:

Example: “This is Maryland Relay OPR #4444 with a call from Bob.”

Tell People

I want OPRs to tell the people I call that:

Tell Options

I am deaf

I am hard of hearing

I have difficulty speaking

Example: “This is Maryland Relay OPR #4444 with a call from a person who has difficulty speaking.”

Never Explain

(NE)

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

Never Identify

Never identify Relay to any person I call.

(Requires “My Hello” below)

My Hello

Use “My Hello” when OPRs greet me.

OPRs will greet the people you call this way:

Example: “Hi, Bob here. How are you?”

7. 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

8. Restrictions

If you do not want to incur extra charges to your phone bill, indicate the types of calls on the list below that you do NOT want to be placed through Relay.

900/976/800

International

Directory Assistance

Operator Assistance

9. Notes

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

Notes

10. Mailing List

Mailing List Signup

Please include me on the Maryland Relay mailing list.

Please include me on the Hamilton Relay mailing list.

Please request my feedback about Maryland Relay once a year.

11. Multi-User Profile/Remote Profile

Personal Identification Number (PIN)

The multi-user/remote feature is of great benefit if you have more than one relay user living in the household or are away from your primary phone number. When accessing your profile, please provide the Operator (OPR) with the 7-digit PIN you selected.

PIN*

Choose 4 numbers for PIN

You’re Almost Finished!

Thank you for completing your Maryland Relay 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

Maryland Relay: Customer Profile

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