Register Your Braille CapTel Phone

* Required fields

CapTel User First Name:*

CapTel User Last Name:*

CapTel User Address:*

CapTel User Address:

CapTel User City:*

CapTel User State:* Select State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNorthern Mariana IslandsNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming

CapTel User Zip Code:*

CapTel Phone Number:*
The telephone number of the CapTel phone you wish to enroll.

CapTel User Email:

ESN: *
Located in Braille on the bottom of your CapTel phone

CapTel User Date of Birth: * / /
Example: 06 / 24 / 1966

Last 4 Digits of Social Security Number: *

Terms and Conditions

• I have a hearing loss that necessitates use of the captioned telephone service.
• 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.
• I understand that the cost of captioning each Internet protocol captioned telephone call is funded through a federal program.
• I will not permit, to the best of my ability, persons who have not registered to use Internet Protocol captioned telephone service to make captioned telephone calls on my registered IP captioned telephone service or device.