Securus Form PDF Details

Securus Technologies, Inc. provides intelligent security solutions for public safety, corrections, government, and commercial organizations worldwide. Securus is committed to providing customers with the latest in technological advancements to help make their communities safer. The Securus Form app is one such advancement, providing an easy way for law enforcement officers to collect information in the field. With Securus Form, officers can quickly and easily create reports from any device with a form-based interface. This innovative app makes it simpler than ever for officers to document incidents and gather evidence. For more information on the Securas Form app or other Securus products, visit today.

If you need to first determine how much time you need to fill out the securus form and what number of pages it's got, here is some detailed information that may be useful.

Form NameSecurus Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namessecurus dispute form, securus dropped form, securus form, securustech

Form Preview Example

Dropped Call Investigation Form

Investigation Form for dropped calls billed by Securus Correctional Billing Services (SCBS)

I _________________________________ (Print Full Name), am the customer of record and party responsible for telephone service

______________________ (Telephone Number) located at _____________________________________________________ (Complete Address).

Dropped call disputes must be submitted within 90 days of the date of the call in order to be eligible to receive a call credit. I hereby am that the following calls initiated in the last 90 days were disconnected prematurely before I or the other party completed the collect call. I am disputing the following calls billed to my above referenced telephone account:

Date:______________ Time:_____________ From: _________________

Date:______________ Time:_____________ From: _________________

Date:______________ Time:_____________ From: _________________

Please note that Securus is not responsible for the transmission quality of wireless/cellular networks. These networks experience dropped calls. Therefore, Securus cannot issue credits for dropped calls to cell phones or wireless devices.

This document authorizes SCBS to conduct a complete investigation to determine why these calls terminated. I understand that in order to fully investigate this matter, SCBS may access call records, call recordings or other records pertaining to my telephone account, and I authorize SCBS this access.

SCBS will solely credit calls placed to landline numbers if the calls terminated for reasons SCBS is able to verify. Calls are verio determine reason for

disconnect. Calls will not be credted if any of the following occurred:


__ Calls to cell phones or wireless devices

__ Calls over 90 days old

__ Calls terminated for fraud attempts

__ Calls dropped due to 3-way calling attempts

__ Calls dropped due to call transfer/call forward attempt

__ Calls placed on hold by called party

__ Calls placed to cordless or speaker phones

__ Calls interrupted by using/answering call waiting

__ Calls dropped due to line silence (stopping or pausing)

__ Calls dropped due to dialing of additional digits on phone keypad (DTMF)

When SCBS has completed their investigation, my account will be updated with actions taken to address these disputes. The investigation could take up to 30 days to complete upon receipt of form. I understand and agree that completing this form does not absolve me from esponsibility

should the above call charges be sustained at the completion of the investigation. This form provides the authorization for SCBS to research and investigate the calls listed above. If SCBS determines that the calls under investigation were terminated due to either party disconnecting the call, I understand I will be responsible for the call charges. If SCBS determines the calls

were prematurely disconnected at no fault of either party, adjustments will be made to my telephone account.

Customer of Record Printed Name: _______________________________

Customer of Record Signature: _______________________________

Date: _______________________________

Please return form:

By Fax: 972-277-0714

By Mail: Securus Correctional Billing Services, PO BOX 1109 , Addison TX 75001

By Email:

For investigation results, call 800-844-6591

Securus Correctional Billing Services is a division of Securus Technologies, Inc and T-Netix Telecommunications Services, Inc.


How to Edit Securus Form Online for Free

You can easily complete the securus refund request form using this PDF editor. The next steps will let you easily prepare your document.

Step 1: Choose the button "Get form here" to open it.

Step 2: You will discover all of the functions which you can take on the document as soon as you've accessed the securus refund request editing page.

The next few parts will help make up the PDF file:

example of gaps in securustech online

Fill in the When SCBS has completed their, Customer of Record Printed Name, Customer of Record Signature, Date, Please return form By Fax By Mail, CBS is a division of Evercom, Securus Correctional Billing, and JEFFCNTY CBSSCB field with the information requested by the system.

step 2 to entering details in securustech online

Step 3: After you click the Done button, your prepared file can be exported to each of your gadgets or to electronic mail given by you.

Step 4: You should make as many copies of your form as possible to stay away from potential complications.

Please rate Securus Form

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .