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  • Fcc Form 497 - Universal Service Administrative Company - Usac

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FCC Form 497 support claims are due to USAC by the 8th of each month or the next business day if the 8th falls on a Saturday Sunday or federal holiday. FCC Form 497 April 2012 Edition LIFELINE WORKSHEET OMB Approval 3060-0819 Avg. Burden Est. per Respondent 2. ETCs must use FCC Form 497 to request reimbursement for participating in the Low-Income Program. Line 1 Line 2 Line 3 499 Filer ID - Enter the 499 Filer ID number of the filing entity. Begi.

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How to fill out the FCC Form 497 - Universal Service Administrative Company - Usac online

Filling out the FCC Form 497 is essential for eligible telecommunications carriers to request reimbursement for Lifeline services provided to qualifying low-income customers. This guide will walk you through the process of completing the form online, ensuring you provide accurate and necessary information for your submission.

Follow the steps to successfully complete the FCC Form 497 online.

  1. Click ‘Get Form’ button to access the form and open it in your editor.
  2. Enter your USAC Service Provider Identification Number in Line 1. This is a 9-digit number unique to your organization.
  3. In Line 2, input the 6-digit Study Area Code for the area you are claiming reimbursement.
  4. Provide your 499 Filer ID in Line 3. This identifier is assigned after your initial FCC Form 499-A submission.
  5. Select the Technology Type in Line 4 by indicating whether your service is wireline or wireless.
  6. In Line 5, check the applicable ETC Designation Type, selecting either Lifeline Only, Wireless, or High Cost/Low Income.
  7. Complete Box 6 with your organization's legal name, contact information, and mailing address.
  8. In Box 7, provide filing information including the submission date, data month, filing type (original or revision), and state of reporting.
  9. Fill in the Lifeline support section, detailing the number of non-Tribal and Tribal low-income subscribers in Lines 8(a) and 9(a), along with the respective support amounts in Lines 8(b), 9(b), and total amounts in Lines 8(c) and 9(c).
  10. Calculate and enter the total Lifeline dollars claimed in Line 10 by summing Lines 8(c) and 9(c).
  11. Provide details related to Toll Limitation Services in Lines 11 through 13, including the incremental cost, number of subscribers, and total support claimed.
  12. Complete the Tribal Link Up section in Lines 14 through 18, detailing connections and charges waived on Tribal lands.
  13. Calculate the Total Low-Income Support amount in Line 19 by summing amounts from Lines 10, 13, and 18.
  14. In Block 20, complete the Certifications and Signatures section, ensuring an officer's signature is obtained to verify the authenticity of the submission.
  15. Once all sections are completed, review your entries for accuracy and completeness. Finally, save the form, as you can download, print, or share it as needed.

Start filling out your FCC Form 497 online today to ensure timely reimbursement for Lifeline services.

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497 Officer: A user with the responsibility of filing and certifying reimbursement claims for the Affordable Connectivity Benefit. 497 Officers can assign or create an NLAD ETC Administrator account and create and view reports.

FCC FORM 5630 I understand that I have to tell my service provider within 30 days if I do not qualify for Lifeline anymore, including: 1) I, or the person in my household that qualifies, do not qualify through a government program or income anymore.

The FCC Form 555, or “Annual Lifeline Eligible Telecommunications Carrier Certification Form,” reports the results of the annual recertification process and includes data accuracy certifications.

There are three ways to recertify for Lifeline. Complete the online form to recertify. This option is only available if you DO NOT have to provide proof documentation. Call (855) 359-4299, enter in the application ID number included in your letter, and follow the prompts.

Reverification is the one-time process to confirm that all existing Lifeline subscribers meet the National Verifier's eligibility standards. Reverification will reset a subscriber's anniversary date. Subscribers will be recertified one year after the date that they are successfully reverified.

If you need assistance or have any questions related to address changes or the National Verifier, please contact us at LifelineProgram@usac.org or (800) 234-9473.

If you do not use your Lifeline service for 30 days, you will receive a notice from your Lifeline provider that you must use your service within the next 15 days. If you do not use your service after receiving the 15-day notice from your Lifeline provider, your service may be turned off.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232