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FCC Form 499
Service Provider Telecommunications Reporting Worksheets

Who Should File the FCC Form 499-A and Form 499-Q

All service providers that participate in the High Cost, Low Income, Rural Health Care, or Schools and Libraries Universal Service Support Mechanisms must file FCC Form 498 to receive disbursement payments.

Service Providers should complete an FCC Form 498 in order to:

  • Apply for a new SPIN.
  • Revise an existing FCC Form 498.
  • Consolidate, merge, or deactivate existing SPINs due to a merger, acquisition, or consolidation of companies.
  • End participation in the Federal universal service support mechanisms. High Cost and Low Income recipients must comply with 47 C.F.R. 54.205 if relinquishing High Cost or Low Income Federal universal service support.

Complete Forms Online on the USAC Website

 

Downloads

PDF 2013 FCC Form 499-A Instructions

PDF FCC Form 499-Q - Quarterly Telecommunications Reporting Worksheet

PDF FCC Form 499-Q Instructions

 

 

When and Where to File

Service providers must submit the FCC Form 498 and a signed letter of certification on company letterhead before support payments will be authorized. Please send the form and letter to:

USAC Billing and Disbursement
Attn: FCC Form 498
2000 L Street, N.W. Suite 200
Washington, DC 20036

Where to Get More Information:

http://www.universalservice.org/cont/tools/forms/default.aspx