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  • Form 473

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And Libraries Service Provider Annual Certification Form Please read instructions before completing. (To be completed by Service Provider) Block 1: Service Provider Information 1. Name of Service Provider 2. Service Provider Identification Number (SPIN) 3. Funding Year: July 1, through June 30, 4. Contact Name 5. Complete Mailing Address of Contact Person Street Address, P. O. Box or Route Number City State 6. Telephone Number with Area Code - -.

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How to fill out the Form 473 online

This guide provides clear, step-by-step instructions on how to fill out the Form 473, also known as the Service Provider Annual Certification Form. Whether you are new to digital forms or have previous experience, this resource will support you in completing the form accurately and efficiently.

Follow the steps to complete the Form 473 successfully

  1. Click the ‘Get Form’ button to obtain the form and open it in an online editor.
  2. Begin with Block 1: Service Provider Information. Fill in the name of the service provider and provide the Service Provider Identification Number (SPIN). Specify the funding year, making sure to enter the correct dates.
  3. Continue to fill in the contact information: enter the contact person's name, mailing address including street, city, state, and ZIP code. Ensure the telephone number, fax number, and email address are accurate.
  4. Proceed to Block 2: Certification. Read through each certification statement carefully. Make sure you understand and can affirm the truthfulness of each certification related to the service provided.
  5. Sign off on the certification by providing the date, printed name, title or position of the authorized person, and relevant contact information.
  6. Once all necessary fields are completed, save the changes to your form. You can download, print, or share the completed Form 473 as needed.

Complete the Form 473 online today to ensure your compliance and support for universal service funding.

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Related content

Service Provider Annual Certification Form...
July 2013. FCC Form 473. Approved by OMB. OMB Control No. 3060 – 0856. Estimated time...
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47 CFR § 54.504 - Requests for services. | CFR |...
The entities listed on the FCC Form 471 will pay the discounted charges for eligible...
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Reimbursement of Paid Medical Expenses Under 18...
Unit, Tom Grestini, (518)473-5892. ATTACHMENTS: Attachment I: Desk Aid: Reimbursement...
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Service providers file an FCC Form 473 (Service Provider Annual Certification (SPAC) Form) to certify that they will comply with Schools and Libraries (E-Rate) program rules.

FCC Form 486 (Receipt of Service Confirmation and Children's Internet Protection Act Certification Form) notifies USAC that the billed entity and/or the eligible entities that it represents is receiving, or has received, service in the relevant funding year from the named service provider(s).

The posting of an applicant's FCC Form 470 (Description of Services Requested and Certification Form) opens the required competitive bidding process.

Purpose of FCC Form 472 Applicants file an FCC Form 472 (Billed Entity Applicant Reimbursement (BEAR) Form) to request reimbursement from USAC for the discount costs of the eligible products or services approved on the FCC Form 471, and which the applicant has received and paid for in full.

Form 471 must be filed to request discounts on eligible services for eligible schools, libraries, and consortia of those entities. Form 471 must be filed AFTER a Form 470, which must be posted on the SLD section of the USAC web site for at least 28 days before the Form 471 is filed.

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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
Help Portal
Legal Resources
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