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E-rate Forms

Applicant Forms

Form 470    Description of Services Requested and Certification

Form 471    Service Ordered and Certification

Form 479    Certification by Administrative Authority to Billed Entity of Compliance with CIPA

Form 486    Receipt of Service Confirmation Form

Form 500    Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation

Form 472    Billed Entity Applicant Reimbursement Form


Service Provider Forms

Form 473    Service Provider Annual Certification Form

Form 474    Service Provider Invoice Form

Form 498    Service Provider Identification Number and Contact Information Form


Sample Letters

Form 472 BEAR Notification Letter

Form 486 Notification letter

Form 500 Notification letter

Funding Commitment Decision Letter

Receipt Acknowledgment Letter

Receipt Notification Letter

 

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Applicant   Service Provider