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E-Rate Forms for Applicants:

Form

Purpose

470 Description of Services Requested and Certification Form
471 Description of Services Ordered and Certification Form
471ws Worksheet: Optional Pre-Discount Cost Calculation Grid
472 Billed Entity Applicant Reimbursement ("BEAR") Form
479 Certification of CIPA Compliance for Consortium Members
486 Receipt of Service Confirmation
500 Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation

E-Rate Forms for Service Providers:

Form

Purpose

473 Service Provider Annual Certification ("SPAC") Form
474 Service Provider Invoice ("SPI") Form
498 Service Provider Information Form (apply for a SPIN) - file online
499 Telecommunications Reporting Worksheet - file online

General E-Rate Forms and Sample Letters: