E-File

Request to Offset High Cost Program Payments Against USF Contributor Obligation

The following information pertains only to telecommunications companies participating in the High Cost Program. A telecommunications company may choose to offset its payment against its Federal universal service contribution. A telecommunications company must have an FCC Form 499 Filer ID in order to offset its High Cost Program payments against its Federal universal service contribution. In order to obtain an FCC Form 499 Filer ID number, click here and select FCC Form 499. Note: You do not need an FCC Form 499 Filer ID in order to be issued a Form 498 ID.

I want my High Cost Program disbursement payments to be offset against my Federal universal service contribution obligations.

Note: You must check the box to net your payments

Request to Offset Lifeline Program Payments Against USF Contributor Obligation

The following information pertains only to telecommunications companies participating in the Lifeline Program. A telecommunications company may choose to offset its payment against its Federal universal service contribution. A telecommunications company must have an FCC Form 499 Filer ID in order to offset its Lifeline Program payments against its Federal universal service contribution. In order to obtain an FCC Form 499 Filer ID number, click here and select FCC Form 499. Note: You do not need an FCC Form 499 Filer ID in order to be issued a Form 498 ID.

I want my Lifeline Program disbursement payments to be offset against my Federal universal service contribution obligations.

Note: You must check the box to net your payments

Request to Offset Rural Health Care Program Payments Against USF Contributor Obligation

The following information pertains only to telecommunications companies participating in the Rural Health Care Program. In accordance with FCC rule Section 54.679 regarding Rural Health Care Program payments, a telecommunications company may choose to offset its payment against its Federal universal service contribution. A telecommunications company must have an FCC Form 499 Filer ID in order to offset its Rural Health Care Program payments against its Federal universal service contribution. In order to obtain an FCC Form 499 Filer ID number, click here and select FCC Form 499. Note: You do not need an FCC Form 499 Filer ID in order to be issued a Form 498 ID.

I want my Rural Health Care Program disbursement payments to be offset against my Federal universal service contribution obligations.

Note: You must check the box to net your payments

Certification to Assist Health Care Providers

In accordance with FCC rule Section 54.640(b), service providers participating in the Healthcare Connect Fund Program must certify, as a condition of receiving support, that they will provide to health care providers, on a timely basis, all information and documents regarding supported equipment, facilities, or services that are necessary for the health care provider to submit required forms or respond to FCC or USAC inquiries. USAC may withhold disbursements to the service provider if the service provider, after written notice from USAC, fails to comply with this requirement.

I certify, as a condition of receiving support under the Healthcare Connect Fund Program, that the above-named service provider will provide to health care providers, on a timely basis, all information and documents regarding the supported equipment, facilities, or services that are necessary for the health care provider to submit required forms or respond to FCC or USAC inquiries.

Note: You must check the box to submit your certification

Request to Offset Schools and Libraries Program Payments Against USF Contributor Obligation

The following information pertains only to telecommunications companies participating in the Schools and Libraries Program. In accordance with FCC rule Section 54.515 regarding Schools and Libraries Program payments, a telecommunications company may choose to offset its Schools and Libraries Program payment against its Federal universal service contribution. A telecommunications company must have an FCC Form 499 Filer ID in order to offset its Schools and Libraries Program payments against its Federal universal service contribution. In order to obtain an FCC Form 499 Filer ID number, click here and select FCC Form 499. Note: You do not need an FCC Form 499 Filer ID in order to be issued a Form 498 ID.

I want my Schools and Libraries Program disbursement payments to be offset against my Federal universal service contribution obligations.

Note: You must check the box to net your payments

Warning! Do you wish to have your Schools and Libraries Program disbursements netted? If yes, check the box above.

Service Identification

From the List of Activities box below, select the Principal Communication activity or activities that describe the company’s business. When selecting more than one activity, rank the activities in order of importance to the company’s business. Select no more than five.

List of Activities

Selected Activities - Rank in order of importance

From the List of Types box below, select the Data Act Business types that describe the company’s business. When selecting more than one activity, rank the types in order of importance to the company’s business. Select no more than three.

List of Types

Selected Types - Rank in order of Importance