A r c h i v e d  I n f o r m a t i o n

APPENDIX C

Recommended Application Forms

Schools and Libraries Universal Service Fund

Application for Eligible Services

FCC Form I

BLOCK 1: Applicant Information

BLOCK 2: Services Requested

BLOCK 3: Supplemental Information

BLOCK 4: Certifications, Signature and Seal of Notary Public

FCC Form II

BLOCK 1: Requester Information

BLOCK 2: Services Ordered

BLOCK 3: Certifications, Signature and Seal of Notary Public

FCC Form III

BLOCK 1: Requester/Notifier Information

BLOCK 2: Commencement of Service

BLOCK 3: Certifications, Signature and Seal of Notary Public

[ Appendix B. Checklist for Approval of New Technology Plans			Return to E-rate Report Table of Contents

This page last updated 8/10/97 (pjh).