Escalation Form Internet and Landline phone issues/faults.You MUST try to solve your issue first before completing this form. It is essential that you have a ticket or fault number from your retail service provider. Please ensure you have a correct address (including locality) before filling in this form.First & Last Name*Address*Please type Address in this formation (all on one line please) - 935 Tipton StreetTown/Suburb*State/Territory*ACTNorthern TerritoryNSWQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaOtherPostcode*Your Region*Please provide us the name of the region you are located in - e.g Riverina MIAEmail* Enter Email Confirm Email Phone*Connection specificsName of your Provider*Name of the Account HolderAccount Number*Type of connection you are having issues with*ADSLnbn SkyMuster Satellitenbn Fixed Wirelessnbn Fixed LineAlternate Fixed Wireless Provider (WISP)Mobile Phone & Mobile BroadbandLandline PhoneOtherFixed WirelessWhat issues are you experiencing with your connection?DropoutsSlow SpeedsNo Connection/OutageBillingOtherBriefly describe the issues you are experiencingWhen did you notice the issue/fault commence?What have you done so far to troubleshoot the issue with your retail service provider?*Please explain what you have done so farProvider fault numberINCIDENT Number from nbn coYou can get this from your provider, the number will start with INCNTD Number labelled on your nbn boxYou can locate this on the sticker placed at the top of the nbn unit installed on your wall.Have you tried a second port with another provider to test the issue at all? If so, can you explain further?Please explain what you have done so farIf you issue surrounds speed: Conduct a speed test connected direct via cable to the nbn NTD box (bypass the router). Complete the speed test at 3 times across the day. Enter the results of the speed test in this format: TEST 1: 3pm 5.01Mbps DOWN, 1.4 Mbps UP in the text box below:Please explain what you have done so farnbn SkyMuster SatelliteWhat are you experiencing issues with?DropoutsSlow SpeedsNo Connection/OutageBillingOtherMark only one of these choicesWhat type of plan are you having issues with?12/1Mbps SkyMuster Standard25/5Mbps SkyMuster StandardSkyMuster PlusSkyMuster Education PortI am not sureMark only one of these choicesBriefly describe the issue you are experiencingWhen did you notice the issue/fault commence?What have you done so far to troubleshoot the issue with your retail service provider?Fault number from your service provider?INCIDENT number from nbn coYou can find this number by contacting your service providerNTD Number on the nbn boxYou can find this number at the front of the nbn box (black unit on your wall with nbn logo on the front and has a coloured ring), it will be located at the top of the ring on a white sticker starting with NTD000If you issue surrounds speed: Conduct a speed test connected direct via cable to the nbn NTD box (bypass the router). Complete the speed test at 3 times across the day. Enter the results of the speed test in this format: TEST 1: 3pm 5.01Mbps DOWN, 1.4 Mbps UP in the text box below:Most retail service providers offer an internal speed test server, it is best to use the speed test from your RSP to test. If your RSP does not have a speed test use this one www.speedtest.netnbn Fixed LineWhat are you experiencing issues with?DropoutsSlow SpeedsNo Connection/OutageBillingOtherMark only one of these choicesBriefly describe the issue you are experiencingWhen did you notice the issue/fault commence?What have you done so far to troubleshoot the issue with your retail service provider?Fault number from your service provider?INCIDENT number from nbn coYou can find this number by contacting your service providerIf you issue surrounds speed: Conduct a speed test connected directly via cable to your router (do not use wireless). Complete the speed test at 3 times across the day. Enter the results of the speed test in this format: TEST 1: 3pm 5.01Mbps DOWN, 1.4 Mbps UP in the text box below:Most retail service providers offer an internal speed test server, it is best to use the speed test from your RSP to test. If your RSP does not have a speed test use this one www.speedtest.netADSL ConnectionsWhat are you experiencing issues with?DropoutsSlow SpeedsNo Connection/OutageBillingOtherMark only one of these choicesBriefly describe the issue you are experiencingIs your Landline phone also not working or is it just your Internet connection?When did you notice the issue/fault commence?What have you done so far to troubleshoot the issue with your retail service provider?Fault number from your service provider?If you issue surrounds speed: Conduct a speed test connected directly via cable to your router (do not use wireless). Complete the speed test at 3 times across the day. Enter the results of the speed test in this format: TEST 1: 3pm 5.01Mbps DOWN, 1.4 Mbps UP in the text box below:Most retail service providers offer an internal speed test server, it is best to use the speed test from your RSP to test. If your RSP does not have a speed test use this one www.speedtest.netMobile Phone & Mobile Broadband (3G/4G/5G)What are you experiencing issues with?DropoutsReception IssuesSlow SpeedsNo Connection/OutageBillingVoice CallsOtherMark only one of these choicesBriefly describe the issue you are experiencingWhen did you notice the issue/fault commence?What have you done so far to troubleshoot the issue with your retail service provider?Fault number from your service provider?If you issue surrounds data speed: Conduct a speed test connected directly via cable to your router (do not use wireless). Complete the speed test at 3 times across the day. Enter the results of the speed test in this format: TEST 1: 3pm 5.01Mbps DOWN, 1.4 Mbps UP in the text box below:Most retail service providers offer an internal speed test server, it is best to use the speed test from your RSP to test. If your RSP does not have a speed test use this one www.speedtest.netWISP - Non-nbn Wireless ServiceWhat are you experiencing issues with?DropoutsSlow SpeedsNo Connection/OutageBillingOtherMark only one of these choicesBriefly describe the issue you are experiencingWhen did you notice the issue/fault commence?What have you done so far to troubleshoot the issue with your retail service provider?Fault number from your service provider?If you issue surrounds speed: Conduct a speed test connected directly to your device (do not use wireless if you have a cabled option). Complete the speed test at 3 times across the day. Enter the results of the speed test in this format: TEST 1: 3pm 5.01Mbps DOWN, 1.4 Mbps UP in the text box below:Most retail service providers offer an internal speed test server, it is best to use the speed test from your RSP to test. If your RSP does not have a speed test use this one www.speedtest.netLandline PhoneWhat type of Landline service do you have?Standard Copper LineNextG Wireless Link (NGWL)HCRC/RRADIO PhoneUSO SatVOIP via nbn Fixed LineVOIP via nbn Fixed WirelessOtherUnsureMark only one of these choicesLandline Phone Number - Including Area CodeBriefly describe the issue you are experiencingWhen did you notice the issue/fault commence?What have you done so far to troubleshoot the issue with your retail service provider?Fault number from your service provider?Other Connection IssueWhat technology are you having issues with?Briefly describe the issue you are experiencingWhen did you notice the issue/fault commence?What have you done so far to troubleshoot the issue with your retail service provider?Fault number from your service provider?How did you find us?*Select from belowSearch engine (Google, Bing etc)Google advertisementRTH official FacebookFacebook groupFacebook postFacebook advertisementRadio (Commercial)Radio (Community)Radio (ABC/SBS)Television (Commercial)Television (ABC/SBS)Newspaper articleNewspaper advertisementWord of mouthReferral from RTH hotlineReferral from BIRRRReferral from RTH community groupReferral from other websiteReferral from TIOReferral from retail service providerReferral from Farmers FederationMet RTH at an eventOtherPhoneThis field is for validation purposes and should be left unchanged.