Prior Year Forms

Note that these forms are provided as historical reference only and contain information such as mailing addresses that are no longer valid. See the Lifeline Program Forms page for accurate and up-to-date information and forms.

If you would like to submit or revise an FCC Form 555 for a previous data year, please select the appropriate form below and submit it to USAC via email.

FCC Form 497 (For months December 2017 and prior) File online FCC Form 497 FCC Form 497 (editable) FCC Form 497 Bulk Upload	Lifeline and Link Up Worksheet FCC Form 497 and Instructions FCC Form 497 Online Filing Instructions Establishing User Entitlements
FCC Form 497 (For months November 2016 and prior) 2012 FCC Form 497 2012 FCC Form 497 (editable)	Lifeline and Link Up Worksheet 2012 FCC Form 497 Instructions
FCC Form 497 (For months July 2012 and prior) 2008 FCC Form 497	Lifeline and Link Up Worksheet 2008 FCC Form 497 Instructions
FCC Form 555 (For 2016 Recertification Data) 2016 FCC Form 555 Due Date February 1, 2017	2016 Annual Lifeline Eligible Telecommunications Carrier Certification Form 2016 FCC Form 555 Instructions
FCC Form 555 (For 2015 Recertification Data) 2015 FCC Form 555 Due Date February 1, 2016	2015 Annual Lifeline Eligible Telecommunications Carrier Certification Form 2015 FCC Form 555 Instructions
FCC Form 555 (For 2014 Recertification Data) 2014 FCC Form 555 Due Date January 31, 2015	2014 Annual Lifeline Eligible Telecommunications Carrier Certification Form 2014 FCC Form 555 Instructions
FCC Form 555 (For 2013 Recertification Data) 2013 FCC Form 555 Due Date January 31, 2014	2013 Annual Lifeline Eligible Telecommunications Carrier Certification Form 2013 FCC Form 555 Instructions
FCC Form 555 (For 2012 Recertification Data) 2012 FCC Form 555 Due Date August 31, 2012	2012 Annual Lifeline Eligible Telecommunications Carrier Certification Form 2012 FCC Form 555 Instructions