Forms List

Train-the-Trainer WorkshopSeptember 9-10, 2002

Schools & Libraries Division

Slide #2Schools and Libraries Division

SLD Forms

Form 470 First Applicant form to be filed Used by Applicants to begin

competitive bidding process; indicates services being sought or RFP availability

Tariffed and month-to-month services have to file annually

Filed for services that will be newly contracted

Slide #3Schools and Libraries Division

SLD Forms (cont’d)

Form 471 Filed by Applicant AFTER an agreement for tariffed or month-to-month services entered or a contract awarded

Must be filed during Application Window for each Funding Year to be treated as received in the filing window

Specifies services ordered and Service Provider/SPIN

Slide #4Schools and Libraries Division

SLD Forms (cont’d)

Form 472 BEAR Form Used by Applicant to get

reimbursement of discounts that Applicant has already paid for in full

Filed AFTER services delivered and paid for

Requires SP signature (which doesn’t have to be original)

Slide #5Schools and Libraries Division

SLD Forms (cont’d)

Form 473 SP Annual Certification Filed once for each Funding

Year Should be filed during Form

471 Application Window (i.e., before receipt of FCDLs)

Covers all invoicing activity for Funding Year

Slide #6Schools and Libraries Division

SLD Forms (cont’d)

Form 474 SP Invoice Form Filed AFTER providing

discounted bills to Applicant(s) Every line item (FRN) passes

through system separately Items that “Passed $0” must be

resubmitted

Slide #7Schools and Libraries Division

SLD Forms (cont’d)

Form 479 Certification by Administrative Authority to Billed Entity of Compliance with the Children’s Internet Protection Act

Indicates status of CIPA compliance of consortium member or other Administrative Authority

Submitted to Billed Entity, not SLD, so Billed Entity can file Form 486

Slide #8Schools and Libraries Division

SLD Forms (cont’d)

Form 486 Applicant Receipt of Service Confirmation Form

Indicates service will start in July of the Funding Year or has begun

Indicates CIPA compliance status Must be received and

acknowledged by SLD before invoices can be paid

Slide #9Schools and Libraries Division

SLD Forms (cont’d)

Form 498 SP Information Form Must be filed once for each

SPIN MUST be updated to reflect

new information such as changes in corporate structure or contact names

Slide #10Schools and Libraries Division

SLD Forms (cont’d)

Form 499A SP Telecommunications Reporting Worksheet

New in April 2000 Required to be filed annually,

by April 1 For USF contributors only USAC Customer Helpline can

provide help (1-888-641-8722)

Slide #11Schools and Libraries Division

SLD Forms (cont’d)

Form 500 Applicant Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form

Used to change commitment amounts (FRN reduction or cancellation)

Used to change contract expiration or service start dates