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E-Rate Record Keeping Checklist
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Form 486
Form Identifier:__________________ Date Submitted:__________________
Applicant:___________________________ Contact:____________________________

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Copy of a completed Form 486

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Verification of Form 486 receipt

Form 472 ("BEAR")
Form Identifier:__________________ Date Submitted:__________________
Applicant:___________________________ Contact:____________________________

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Copy of a completed Form 472 BEAR(s) with signatures

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Verification of Form 472 receipt by the SLD

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SLD letter of vendor payment

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Copy of payments received

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