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Telecommunications Application Forms

The following telecommunications application forms must be used with all new telephone-related applications filed pursuant to Case No. 10-1010-TP-ORD.  Pursuant to 4901:1-6, failure to utilize these form, or failure to include the required attachments, will result in dismissal of the new application.  The forms must be completed in their entirety.

Telecommunications Filing Form

(pdf format)   (word format)  (8-16-11)

Filing Requirements for 4901:1-6-29 O.A.C. Filings

(pdf format)   (word format)  (2-1-11)

Telecommunications Supplemental Application Form for Carrier Certification

(pdf format)  (word format)  (1-19-11)

Telecommunications Retail Service Offering Form

(pdf format)   (word format)  (1-19-11)

Competitive Eligible Telecommunication Carrier Designation High-Cost Universal Service Form

(pdf format)   (word format)  (1-19-11)

Competitive Eligible Telecommunication Carrier Designation Low-Income Universal Service Form

(pdf format)   (word format)  (1-19-11)

Competitive Eligible Telecommunication Carrier Quarterly Report Templates

CETC Form Packet Cover and Instructions

(pdf format)   (word format)   (8-20-13)

CETC Quarterly Reporting Form

(pdf format)   (word format)   (8-20-13)

Ohio Reporting Data Spreadsheet (Attachment A)

(excel format)   (8-20-13)

CETC Quarterly Reporting Form - Customer Enrollment Call Log (Attachment B)

(pdf format)   (word format)   (8-20-13)

CETC Quarterly Reporting Form - Technical Call Log (Attachment C)

(pdf format)   (word format)   (8-20-13)

CETC Quarterly Reporting Form - Application Denial-Rejection Log (Attachment D)

(pdf format)   (word format)   (8-20-13)

Telecommunications Application Form for Detariffing and Related Actions

(pdf format)   (word format)  (1-19-11)

Customer Notice Template for Detariffing and Related Actions

(pdf format)  (word format)  (1-19-11)

Customer Notice Affidavit Template

Under 4901:1-6-07, Ohio Administrative Code, applications must include, at the time of filing, a copy of the relevant customer notice stating that the customer notice was provided to all affected customers.  The template below illustrates the required content of the affidavit.

(pdf format)  (word format) (UPDATED 1-19-11; REVISED 4-7-11)



(Page update:  10-03-14)

 

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