Fcc Form 499-A - Telecommunications Reporting Worksheet

Instructions to the Telecommunications Reporting Worksheet, Form 499-A

Compliance

Failure to file the Telecommunications Reporting Worksheet or to pay contributions in a timely fashion may subject

entities to the enforcement provisions of the Communications Act and any other applicable law. In addition, entitie s

may be billed by the administrators for reasonable costs, including interest and administrative costs that are caused

by late, inaccurate, or untruthful filing of the Worksheet or overdue contributions.

III.

Specific Instructions

Block 1: Filer Identification Information

Block 1 of the Telecommunications Reporting Worksheet requires identification information.

Line (101) -- enter the "Filer 499 ID" number for the filing entity. This code is assigned by the Commission’s Data

Collection Agent after a company files its first FCC Form 499. Filer 499 IDs for current filers can be found at

or in the FCC report Telecommunications Provider Locator, which

is available on the Commission's web site at This code should be entered at

the top of each page on the paper version of the Worksheet, the cover letter, and on supporting documentation, if

any. First time filers should write “New” in this block. The Data Collection Agent will assign a Filer 499 ID

number after it receives a completed Form 499-A Telecommunications Reporting Worksheet.

Line (102) -- enter the legal name of the reporting entity as it appears on articles of incorporation or articles of

formation and other legal documents. Each legal entity must file a separate Worksheet unless affiliated entities are

filing on a consolidated basis.

Line (103) -- provide the Internal Revenue Service (IRS) employer identification number (EIN) for the filer. This

should be the same EIN that the company uses to file federal excise taxes or income taxes, if the company offers

services subject to that tax. The EIN is also known as the taxpayer identification number (TIN) or for individuals as

the social security number (SSN).

Line (104) -- provide the principal name under which the company conducts telecommunications activities. This

would typically be the name that appears on customer bills, or the name used when service representatives answer

customer inquiries.

Line (105) -- mark the box that best describes the principal telecommunications activity of the filer. Use the

following categories (please choose only one):

CAP/CLEC

(Competitive Access Provider/Competitive Local Exchange Carrier)

-- competes with incumbent LECs to provide local exchange services, or

telecommunications services that link customers with interexchange

facilities, local exchange networks, or other customers.

Cellular/PCS/SMR

(Cellular, Personal Communications Service, and

(wireless telephony)

Specialized Mobile Radio - telephone service provider)

-- primarily provides wireless telecommunications services (wireless

telephony). This category includes all providers of real-time two-way

See 47 C.F.R. § 54.713 (universal service); 47 C.F.R. § 64.604(c)(5)(iii)(B) (TRS). See also 47 C.F.R. § 52.17(b)

(NANPA); 47 C.F.R. § 52.32(c) (LNPA).

See Section II-B, page 7, for information on making consolidated filings.

Instructions -- Page 11

Fcc Form 499-A - Telecommunications Reporting Worksheet - 2003 Page 18