Applicant Forms

	Form	#	Description
1	USAC Forms	Various	USAC/SLD Forms: 470, 471, 479, 486, 500 & 472
2	USAC Form 498	JULY	Form 498 Required for Erate Applicants to receive USAC payments beginning July 1, 2016
3	IRS W-9 Form	W-9	IRS W-9 Taxpayer Identification Number
4	OCC OUSF Forms	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.
5	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.
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7	CIPA Certification 1920 - pdf CIPA Certification 1920 - doc CIPA Certification 2021 - pdf CIPA Certification 2021 - doc	July	KSLLC Clients: Use this form to annually certify compliance with the Children's Internet Protection Act, including a cyberbullying awareness curriculum declaration.
8	Contact Information	Ongoing	KSLLC Clients: Use this form to send us contact information for your school or library
9	Budget for 1920-MS Excel Budget for 1920-Fillable pdf Budget for 2021-MS Excel Budget for 2021-Fillable pdf	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.
10	Applicant Planning Calendar 2021	September	Applicants can plan their E-rate timeline and deadlines using this handy calendar.
11	Equipment Transfer Form	Ongoing	Information regarding equipment transfers. FCC Form 500 is used to report changes. https://www.usac.org/sl/applicants/before-youre-done/equipment-transfer.aspx
12	SPIN Change Request Form	Ongoing	KSLLC Clients: Use this form to notify us that you would like to change service providers (vendors)
13	Service Substitution Request (SSR) Form	Ongoing	KSLLC Clients: Use this form to notify us that you would like to change products and services on your existing E-Rate funding.
14	Internal Connections Extension Request	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.
15	Invoice Extension Request	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.
20	E-Rate Discount	December	KSLLC Client Schools: Low Income and Enrollment information needed to establish your E-Rate discount.
21	OK Guide to Student Enrollment Count Reports 2019	December	Step by step directions and examples of the student enrollment count reports (formerly called the accreditation grade gird report) needed for each site to calculate your E-rate discount for 2021.
22	NSLP Certification Form - pdf NSLP Certification Form - doc	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	Income Survey	Fall	Income Survey can be used to determine your school's E-Rate discount using the Alternative Discount Method.
26	Survey Summary	Fall	If you use the Household Income Survey, use this form to summarize your results.
27	Bidders Conference-Walk Through Sign in Sheet Bidders Conf Report	Nov/Dec	KSLLC Clients: Tips for conducting a bidders conference (walk through) and sign in sheet
28	Bid Evaluation Worksheet (.xlsx) Bid Evaluation Worksheet_TX (.xlsx)	Nov/Dec	KSLLC Clients: Use these forms to evaluate your E-Rate bids. See also: Bid Evaluation Instructions
29	Accepted Bids Summary(.xlsx) Accepted Bids Summary(.pdf)	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 2020-21 MSWord Version	June-August	KSLLC Clients: MS Word version of Letters of Agency for FY 2020-21.
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