Applicant Forms

 Access your KS Client Portal: portal.erate470.com/

 

 

Form

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Description

1 USAC Forms Various USAC/SLD Forms:
470, 471, 479, 486, 500 & 472
1 USAC Form 498 - NEW JULY Form 498
Required for Erate Applicants to receive USAC payments beginning July 1, 2016
2 IRS W-9 Form W-9 IRS W-9 Taxpayer Identification Number
3
Ongoing
Oklahoma schools - complete forms required by the Corporation Commission and forward to your service provider so they can apply for OUSF support on your behalf.
4 E-Rate Policies July/Aug Find samples of E-Rate Record Retention and Procurement Policies, along with E-Rate Gift Rules for inclusion in your current gift policy.
5 E-rate Timeline and Checklist for E-rate FY 2018-19

July, 2017- June, 2018

KSLLC Clients: Timeline and Checklist for your use during the E-rate Filing period
6

CIPA Certification-pdf.

CIPA Certification-MS Word

July KSLLC Clients: Use this form to annually certify compliance with the Children's Internet Protection Act, including a cyberbullying awareness curriculum declaration.
7
Ongoing
KSLLC Clients: Use this form to send us contact information for your school or library
8

Budget-PDF

Budget-MS Excel

December Applicants are required to indicate the amount of funds that will be spent for the resources to support the eligible services requested on their Form 471.
9 Applicant Planning Calendar September Applicants can plan their E-rate timeline and deadlines using this handy calendar.
10
Ongoing
Information regarding equipment transfers. FCC Form 500 is used to report changes.
11
Ongoing
KSLLC Clients: Use this form to notify us that you would like to change service providers (vendors)
12
Ongoing
KSLLC Clients: Use this form to notify us that you would like to change products and services on your existing E-Rate funding.
13
Ongoing
KSLLC Clients: Use this form to notify us that you would like to request a service delivery deadline extension for non-recurring services (Category 2 funding)  past the September 30th deadline.
14
Ongoing
KSLLC Clients: Use this form to authorize KSLLC to file an invoice extension request past October (recurring services) or January (non-recurring services) deadline.
15
September
KSLLC Clients requesting bids for broadband connections (WAN). Use this form to provide details to bidders.
16
September
KSLLC Clients requesting hosted VoIP service. Use this form to provide details for bidders about your phone system needs.
17
September
KSLLC Clients: Use this form to provide list of equipment that will be supported by Uninterruptible Power Supplies (UPS) you are requesting for Erate.
18
September
KSLLC Clients: Provide a detailed list of all sites and campus maps.
19
September
KSLLC Clients: Optional form to provide us with your list of equipment for maintenance.
20
October
KSLLC Clients: Provide representative bills to document E-Rate requests
21
December
KSLLC Client Schools: Low Income and Enrollment information needed to establish your E-Rate discount.
22 NSLP Certification Form December Place this form on your letterhead, complete and return to KSLLC with your NSLP information.
23 NSLP-Special Sites Form December Use this form to report special buildings or new construction sites. Return with your E-rate Discount (NSLP) information.
24 NonTraditional Sites-Snap Shot December Use this form to provide snap shot of attendance for classes held at non-traditional sites. Include with your E-Rate Discount (NSLP) information.
25
Fall
Income Survey can be used to determine your school's E-Rate discount using the Alternative Discount Method.
26
Fall
If you use the Household Income Survey, use this form to summarize your results.
27
 
Nov/Dec KSLLC Clients: Tips for conducting a bidders conference (walk through) and sign in sheet
28
 
Nov/Dec KSLLC Clients: Use these forms to evaluate your E-Rate bids. TX clients note the TX worksheet.
29
Nov/Dec
KSLLC Clients: Use this form to list all services you will request on your E-Rate Form 471.
30

Multi-Year Renewal(.docx)

Multi-Year Renewal.pdf

Nov/Dec KSLLC Clients: Use this form to indicate renewal of your current multi-year agreement(s).
31

LOAs FY 2018-19 MSWord Version

June/July KSLLC Clients: MS Word version of Letters of Agency for FY 2018-19.
32

Manage Connectivity Questions

April-May Manage your Connectivity Questions (bandwidth levels) for FCC reporting
33 Reserved N/A Reserved
34 Cancellation Request Ongoing Complete this form to authorize cancellation of your funding requests
35 Reduction Request Ongoing Complete this form to authorize reduction of your funding requests
© 2017 Kellogg & Sovereign Consulting, LLC
1101 Stadium Drive
Ada, OK 74820
Phone: (580) 332-1444
Fax: (580) 332-2532
Email: info@kelloggllc.com