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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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