Disaster Response Request

Under ADTRAN's definition of a disaster, this form must be used only when one of the following has occurred, or is expected to occur imminently:

Naturally occurring weather event causing destruction or severe impairment of multiple ADTRAN devices in a geographic location, or
Accident or man-made physical event causing destruction or severe impairment of multiple ADTRAN devices in a geographic location.

A disaster is not the result of network outage or equipment failure other than by its destruction or impairment by such an event. To report a non-disaster network outage, please use the existing, defined processes at www.adtran.com/opencase.

Please select the option that most closely identifies the situation:

Emergency/Disaster Response Preparation

Purchased Disaster Recovery Service Plan from ADTRANDisaster/Emergency Preparedness Plan on file with ADTRANNo Entitlement (proceed to complete form below)

ADTRAN Disaster Recovery Service Plan Number

Disaster Event Information

What company is reporting the disaster?

Disaster Location - Country

Disaster Location - State

Disaster Location - Province

Disaster - City (closest city)

Disaster - State or Province (list all that apply)

Please describe the disaster:

What assistance is needed from ADTRAN?

If you have a list of equipment you need, or expect to need, please upload it here.

If you have a list of affected sites and addresses, please upload it here.

Other file to attach

Enter contact data for up to 5 people you wish to be contacted about this emergency.

First Name

Last Name

Company Name

Work Phone

Mobile Phone (accept calls)

Mobile Phone (accept texts)

Address Line 1

Address Line 2

City

Country

State

Provinces

State/Province

Postal Code

Contact Information