Speech-to-Speech Customer Profile

1. Customer Information

Day of the week and time of day available at this number:
Time
Multiple Choice
Time
Multiple Choice (copy)
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.

Password
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

3b. Answering Relay Calls

lives differently

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:

5. Preference Settings

Preferred CA Gender:
Open Line:
Mute Transmission of STS User:
Retain Information from one inbound call for subsequent calls:
Use of Voice Synthesizer and Augmentative and Alternative Communication Devices:
I give permission for callers to ask to call me by name rather than by telephone number:
I want the CA to confirm call handling preferences before dialing my requested number:
Caller ID Blocking:
I use Visually Assisted Speech-to-Speech:

6. Role of the CA

You can customize how CAs identify relay to the person you are calling if so desired.
I want CAs to say my first name to the people I call.
Example: “This is California Relay CA #4444 with a call from Bob.”
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.
Use my Hello
Example: “Hi, Bob here. How are you?”
(identify caller by name, request call back, specify call back number, and provide the STS relay telephone number)

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 Relay.

Restrictions

8. Speed Dialing

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

Familiar with STS
Familiar with STS
Familiar with STS
Familiar with STS

9. Notes

You’re Almost Finished!

Thank you for completing your California 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.