Get Florida Emergency Communications Number 911 Remittance Form

This guide provides a step-by-step process for completing the Florida Emergency Communications Number 911 Remittance Form online. By following these instructions, users can efficiently fill out the form and ensure compliance with state requirements.

Follow the steps to complete your remittance form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the report date in the designated field to indicate when the report is being submitted.
3. Select the appropriate county from the provided list, ensuring you accurately represent the service area for the wireless provider.
4. Fill in the wireless provider name, providing the official name utilized for billing and reporting purposes.
5. Input the street address, city, state, and zip code of the wireless provider to maintain accurate contact information.
6. Provide the contact person's name and their phone number for any inquiries related to this report.
7. Include the contact email address to facilitate communication from state officials if necessary.
8. Specify the period of collections you are reporting, ensuring it accurately reflects the time frame for the data being submitted.
9. Document the total number of subscribers served during the reporting period in the total subscribers field.
10. Record the gross fees collected from subscribers, ensuring all amounts are accurate and reflect proper calculations.
11. Verify the net fees collected after applying any adjustments or allowances that may apply.
12. Complete the comment section (1) if necessary, providing any additional context or explanations related to adjustments.
13. Sign and date the form to confirm the accuracy of the information provided, including your title.
14. Finally, save any changes, download the filled form, print a copy for your records, or share it with the necessary authorities.

Complete your Florida Emergency Communications Number 911 Remittance Form online today!