Service Provider Forms

Service Provider Forms

Form# Description
 
Registration form for customized E-rate training via webinar.
 
Sample Contract for use with 2019-20 E-Rate filings
SP E-Rate Rider Sample  
Sample E-Rate Rider.
Item 21 Templates   USAC bulk upload spreadsheets.  Awarded bidders will be requested to provide completed Item 21 templates upon request. All awarded bidders for Internal Connections will be REQUIRED to provide the bulk upload template for Internal Connections.
499-A
All intrastate, interstate and international providers of telecommunications within the United States, with very limited exceptions, must file annually.
498
Service Provider Identification Number and Contact Information Form is used to collect contact, remittance, and payment information for service providers who participate in the federal Universal Service Programs.  Used to apply for SPIN.
SLD Guidance - Obtain a Service Provider ID
473
Annual certification form MUST be submitted in order for USAC payments to be made to service provider.
SPAC Form 473 Guidance
474
Form used by service provider to submit invoices to USAC for discount amount.
SLD Guidance - Invoicing