Schools and Libraries

Receipt of Service Confirmation Form (Form 486)

Form 486 must be filed to accomplish the following: to authorize the payment of invoices from your service provider(s); to indicate approval of technology plans (as required); and to indicate the state of compliance with the Children’s Internet Protection Act (CIPA).

Form 486
Receipt of Service Confirmation Form

Estimated Average Burden Hours, FIRST TIME: 15 hours
For Subsequent Submissions: 1.5 hours
Download Form:   pdf 73kb
Download Instructions: pdf 157kb

 

 


Last modified on 2/26/2008