Cox QC Please enable JavaScript in your browser to complete this form.Date *Office Location *Please SelectBaton RougeGainesvilleGulf CoastHampton RoadsMaconNew OrleansOklahoma CityRoanokeSupervisor Performing the QC *FirstLastWork Type *Please SelectInstallTrouble CallsSROCable Type *COAXFiberTech # *Job # *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWas customer contact made? *YesNoUpon arrival, are customer's services working properly? *YesNoUnable to verifyWhat servicers were not working propery? *Were you able to correct the issue? *YesNoWere levels passing at the tap? *YesNoScreenshot of meter showing tap levels * Click or drag files to this area to upload. You can upload up to 5 files. Were levels passing at the ground block? *YesNoScreenshot of meter showing GB levels * Click or drag files to this area to upload. You can upload up to 5 files. Fittings inside and outside were tightened to spec? *YesNoWhich fittings did not meet spec? *Was the work area left clean? *YesNoWhich areas were not left clean? *Was customer education completed correctly? *YesNoWas the SMS post call completed? *YesNoNotesSubmit