E-Rate Services - Forms, Process and Description

 

E-Rate Forms and Descriptions

E-Rate Forms Library

View Entire Process to determine which forms are needed.

 

FORMS FOR APPLICANTS
Form Description
470 : Instructions Description of Services Requested and Certification
471 : Instructions Description of Services Ordered and Certification
471ws : Instructions Worksheet: Optional Pre-Discount Cost Calculation Grid
472 : Instructions Billed Entity Applicant Reimbursement ("BEAR")
479 : Instructions Certification of CIPA Compliance for Consortium Members
486 : Instructions Receipt of Service Confirmation
500 : Instructions Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation

 

FORMS FOR SERVICE PROVIDERS
Form Description
473 : instructions Service Provider Annual Certification ("SPAC") Form
474 : instructions Service Provider Invoice ("SPI") Form
498 : instructions Service Provider Information Form (apply for a SPIN)
499A : instructions
499Q : instructions		 Telecommunications Reporting Worksheet - Annually
Telecommunications Reporting Worksheet - Quarterly

 

GENERAL FORMS
Letter of Agency (LOA) Exemplary
Operational SPIN Correction and Correctional SPIN Correction
Deadline Calculation Worksheet
Sample Survey FY 2009

E-Rate Information Form

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