Prior Year Forms

These forms are for historical reference and contain information such as mailing addresses that are no longer valid. See the Lifeline Forms page for up-to-date information and forms.

Service providers who need to submit downward revisions for data months in 2017 and prior should select the appropriate form below and submit it to LIFilings@usac.org.

Service providers who need to revise an FCC Form 555 for a previous data year should select the appropriate form below and submit it to Form555@usac.org.

 

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