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Form
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#
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Description
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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 |
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Ongoing
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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.
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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
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KSLLC Clients: Timeline and Checklist for your use during the E-rate Filing period |
6 |
CIPA Certification-pdf.
CIPA Certification-MS Word
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July |
KSLLC Clients: Use this form to annually certify compliance with the Children's Internet Protection Act, including a cyberbullying awareness curriculum declaration. |
7 |
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Ongoing
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KSLLC Clients: Use this form to send us contact information for your school or library
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8 |
Budget-MS Excel
Budget-Fillable pdf
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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 |
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Ongoing
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Information regarding equipment transfers. FCC Form 500 is used to report changes.
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11 |
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Ongoing
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KSLLC Clients: Use this form to notify us that you would like to change service providers (vendors)
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12 |
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Ongoing
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KSLLC Clients: Use this form to notify us that you would like to change products and services on your existing E-Rate funding.
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13 |
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Ongoing
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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.
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14 |
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Ongoing
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KSLLC Clients: Use this form to authorize KSLLC to file an invoice extension request past October (recurring services) or January (non-recurring services) deadline.
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15 |
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September
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KSLLC Clients requesting bids for broadband connections (WAN). Use this form to provide details to bidders.
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16 |
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September
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KSLLC Clients requesting hosted VoIP service. Use this form to provide details for bidders about your phone system needs.
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17 |
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September
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KSLLC Clients: Use this form to provide list of equipment that will be supported by Uninterruptible Power Supplies (UPS) you are requesting for Erate.
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18 |
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September
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KSLLC Clients: Provide a detailed list of all sites and campus maps.
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19 |
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September
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KSLLC Clients: Optional form to provide us with your list of equipment for maintenance.
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20 |
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October
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KSLLC Clients: Provide representative bills to document E-Rate requests
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21 |
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December
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KSLLC Client Schools: Low Income and Enrollment information needed to establish your E-Rate discount.
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22
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OK Guide to Student Enrollment Count Reports 2017 |
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 1819. |
23 |
NSLP Certification Form |
December |
Place this form on your letterhead, complete and return to KSLLC with your NSLP information. |
24 |
NSLP-Special Sites Form |
December |
Use this form to report special buildings or new construction sites. Return with your E-rate Discount (NSLP) information. |
25 |
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. |
26 |
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Fall
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Income Survey can be used to determine your school's E-Rate discount using the Alternative Discount Method.
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27 |
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Fall
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If you use the Household Income Survey, use this form to summarize your results.
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28 |
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Nov/Dec |
KSLLC Clients: Tips for conducting a bidders conference (walk through) and sign in sheet |
29 |
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Nov/Dec |
KSLLC Clients: Use these forms to evaluate your E-Rate bids.
See also: Bid Evaluation Instructions |
30 |
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Nov/Dec
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KSLLC Clients: Use this form to list all services you will request on your E-Rate Form 471.
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31 |
Multi-Year Renewal(.docx)
Multi-Year Renewal.pdf
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Nov/Dec |
KSLLC Clients: Use this form to indicate renewal of your current multi-year agreement(s). |
32 |
LOAs FY 2018-19 MSWord Version
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June/July |
KSLLC Clients: MS Word version of Letters of Agency for FY 2018-19. |
33 |
Manage Connectivity Questions
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April-May |
Manage your Connectivity Questions (bandwidth levels) for FCC reporting |
34 |
Reserved |
N/A |
Reserved |
35 |
Cancellation Request |
Ongoing |
Complete this form to authorize cancellation of your funding requests |
36 |
Reduction Request |
Ongoing |
Complete this form to authorize reduction of your funding requests |