Telecommunications Annual Service Report Form - Louisiana Public Service Commission

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Reporting Year:__________________
TELECOMMUNICATIONS ANNUAL SERVICE REPORT
Availability of Service Capabilities, Service Offerings, Number of Customers, Access Lines & Revenues
within the State of Louisiana
For the Louisiana Public Service Commission
This report is to be filed with the company’s financial statements. This report alone does not fulfill
the annual reporting requirements.
Company Name:________________________________________________________________________
Company Address:______________________________________________________________________
City, State, Zip:_________________________________________________________________________
Contact Person:_______________________________________ Phone:___________________________
☐ Check here if any information has changed from previous years.
1. Please provide a general statement outlining the availability of service capabilities and
offerings provided by your company within the State of Louisiana.
2. Number of Customers:
a. Residential:______________
b. Business:________________
3. Access Lines & Revenues by Category:
Access Lines
Annual Revenues
st
st
January 1
December 31
Business
Business
Residential
Public
Totals
Residential
Special Access
DSO
DS2
DS3
Totals

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