Confirm Mobile Number *
– Please click ‘CONFIRM’ button above.
Note – This phone number should be a US-based Mobile phone, not landlines, Skype, Google Voice, nor similar virtual phone numbers.
INFORMATION: You are not able to register online. Please submit re-Registration Request form(click here) or contact Customer support team.
Street Address *
Select one…Alabama(AL)Alaska(AK)Arizona(AZ)Arkansas(AR)California(CA)Colorado(CO)Connecticut(CT)Delaware(DE)Florida(FL)Georgia(GA)Hawaii(HI)Idaho(ID)Illinois(IL)Indiana(IN)Iowa(IA)Kansas(KS)Kentucky(KY)Louisiana(LA)Maine(ME)Maryland(MD)Massachusetts(MA)Michigan(MI)Minnesota(MN)Mississippi(MS)Missouri(MO)Montana(MT)Nebraska(NE)Nevada(NV)New Hampshire NH)New Jersey NJ)New Mexico NM)New York NY)North Carolina(NC)North Dakota(ND)Ohio(OH)Oklahoma(OK)Oregon(OR)Pennsylvania(PA)Rhode Island(RI)South Carolina(SC)South Dakota(SD)Tennessee(TN)Texas(TX)Utah(UT)Vermont(VT)Virginia(VA)Washington(WA)West Virginia(WV)Wisconsin(WI)Wyoming(WY)American Samoa(AS)District of Columbia(DC)Federated States of Micronesia(FM)Guam(GU)Marshall Islands(MH)Northern Mariana Islands(MP)Palau(PW)Puerto Rico(PR)Virgin Islands(VI)
The FCC mandates that we collect your date of birth and the last four digits of your Social Security Number(SSN). Please provide this information below.
Date of Birth *
Last 4 digits of SSN *
(1) I have a hearing loss that necessitates use of captioned telephone service;
(2) I understand that the captioning on captioned telephone service is provided by a live communications assistant who listens to the other party on the line and provides the text on the captioned phone;
(3) I understand that the cost of captioning each Internet protocol captioned telephone call is funded through a federal program; and
(4) I will not permit, to the best my ability, persons who have not registered to use Internet protocol captioned telephone service to make captioned telephone calls on my InnoCaption App.
Self Certification Signature *