Emergency Line Fault Reporting
Please complete the form below regarding the problem you experienced with the emergency line.
Please note that this form applies to 084124 (South Africa) only.
Your Name
*
Please enter a value.
Your Surname
Cellular Number
*
Please enter a value.
Landline Number
E-mail
*
Invalid Email Address.
Please enter a value.
Date
*
Please enter a value.
Invalid Date
Province
*
Gauteng
North West
Mpumalanga
Western Cape
Southern Cape
Eastern Cape
Northern Cape
Limpopo
Free State
KwaZulu-Natal
Please enter a value.
From which province did you dial 084124?
Suburb / Town
*
Please enter a value.
Physical Address
Time of Call
*
Please enter a value.
AM/PM
*
AM
PM
Please enter a value.
Fault Reporting
From which number did you dial 084124?
*
Please enter a value.
Did you attempt to call from another divice or landline?
Yes
No
If Yes, was your call answered?
Yes
No
How did you attempt to call 084124?
*
Cellular phone
Landline (Private)
Landline (Office)
Landline (Paybox)
Other
Please enter a value.
Please enter a value.
Please select the device or platform you utilised to contact 084124.
If you dialed from a company - can you normally dial short codes?
Yes
No
Not Sure
Who is your service provider
(the number you dialed from)
Cell C
Vodacom
MTN
8ta
Virgin Mobile
Telkom
Neotel
Did you experience any of the following during the call?
Not ringing
Engage Tone
The number does not exist
Connection failed
Silent line
Other
Why did you contact 084124?
I you did speak to an emergency call taker, how was their service?
Questions or comments