Exigent Disclosure Request Form

If there is an emergency involving the danger of death or serious physical injury to a person that Windstream Services, LLC may have information necessary to prevent, you may submit an exigent disclosure request below.

* represents required field

LEA Contact Info

e.g., FBI, Sugarland Police Dept.

Official email domain only (e.g. usdoj.gov, met.police.uk, @greenvillecounty.org)

Windstream Details

Use the following format: YYYY/MM/DD H:MM TT

PLEASE NOTE: Requests submitted through this form are reviewed and responded to as quickly as possible. Questions about submissions will be directed to the email address provided above

Signature: Please electronically sign this notice by typing your full name

* Denotes Required

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