Service Provider Forms

Form	#	Description
KSLLC SP Signature & Logo Authorization	KSLLC Form	Authorizes KSLLC to use service providers' signature and logo on bids and/or contracts submitted on KSLLC bidding site, www.erate470.com.
Telecommunications Reporting Worksheet	499-A	All intrastate, interstate and international providers of telecommunications within the United States, with very limited exceptions, must file annually.
Service Provider Information Form	498	Service Provider Identification Number and Contact Information Form is used to collect contact, remittance, and payment information for service providers who participate in the federal Universal Service Programs. Used to apply for SPIN. SLD Guidance - Obtain a Service Provider ID
Service Provider Annual Certification Form	473	Annual certification form MUST be submitted in order for USAC payments to be made to service provider. SLD Guidance - File Annual Certification
Service Provider Invoice	474	Form used by service provider to submit invoices to USAC for discount amount. SLD Guidance - Invoice USAC