FCC Form 474
Service Provider Invoice ("SPI") Form |
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The Service Provider Invoice Form is to be completed and submitted by a service
provider that has provided discounted eligible services to eligible schools and
libraries, in order to seek universal service support in the amount of the
discounts. The service provider must have provided the service and given a
discounted bill to the applicant prior to submitting the Service Provider
Invoice Form.
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The service provider may file the Service Provider Invoice Form seeking
reimbursement of discounts provided pursuant to an approved FRN upon the
occurrence of all of the following conditions:
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- upon receipt of an acknowledgment from SLD that the billed entity applicant has filed a Form 486, Receipt of Services Confirmation Form;
- upon providing discounted, eligible services to an eligible school, school district, library, library consortium or consortium of multiple entities on or after the effective date of the discounts as set forth in SLD's acknowledgement of receipt of Form 486;
- after billing the Form 471 recipient of a Funding Commitment Decision Letter for eligible services, showing the total prediscount amount, the discounted portion and the applicant's obligation to pay the undiscounted amount;
- after the service provider completes and submits its Annual Service Provider Certification Form, FCC Form 473, to SLD; and
- no later than 90 days after the end of the pertinent funding year service delivery period. The delivery period for recurring services is generally July 1 through June 30 of the following year; the period for non-recurring services is generally from July 1 through September 30 of the following year. See the Schools and Libraries Division's website, for specific information about invoice due dates.
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| Downloads: |
 Form 474 "type-in" (Revised April 2007) |
| Instructions |
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Service Provider Forms> Form 474
