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.
Every time I CALL Relay, I use…
If you live with a person who answers Relay differently than you, skip this section.
Every time I ANSWER a Relay call, I use…
Check the service you want with EVERY relay call you make.
If you do not use STS, skip to Section 6.
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.
You will not be charged for local or long distance calls. However, there are situations when payment is necessary. That includes:
Please choose your long distance company from the list provided.
You may save up to 50 speed dial numbers. Be sure to include the area code with the phone number.
If you are a Speech-to-Speech (STS) user, please check the box if the person is already familiar with STS.
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.
Provide any additional call handling instructions or information for the CA here:
You’re Almost Finished!
Thank you for completing your Pennsylvania 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.
* Required information
Monday – Friday:
8:30 AM to 12:30 AM Eastern
11:00 AM to 6:30 PM Eastern