Forms
Applicant Forms
| FCC Form 470 | Description of Services Requested and Certification Form |
| FCC Form 471 | Description of Services Ordered and Certification Form |
| FCC Form 4721 | Billed Entity Applicant Reimbursement (BEAR) Form |
| FCC Form 479 | Certification by Administrative Authority to Billed Entity of Compliance with the Children’s Internet Protection Act Form |
| FCC Form 486 | Receipt of Service Confirmation and Children’s Internet Protection Act Certification Form |
| FCC Form 498 | Service Provider and Billed Entity Identification Number and General Contact Information Form |
| FCC Form 500
|
Funding Commitment Adjustment Request Form
|
Service Provider Forms
| FCC Form 4732
File in EPC |
Service Provider Annual Certification Form |
| FCC Form 4743 | Service Provider Invoice (SPI) Form |
| FCC Form 498 | Service Provider and Billed Entity Identification Number and General Contact Information Form |
| FCC Form 499-A | Annual Telecommunications Reporting Worksheet |
1FCC Forms 472 for 2015 and prior should be submitted via a Customer Service Case in EPC
2FCC Forms 473 for 2015 and prior should be submitted via a Customer Service Case in EPC
3FCC Forms 474 for 2015 and prior should be submitted via a Customer Service Case in EPC
Additional Resources