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E-rate Program

E-rate Program. New FCC Form 472. Overview. Changes to FCC Form 472, Billed Entity Applicant Reimbursement (BEAR) Form “Reimbursement Form Number” moved to top and renamed “Applicant Form Identifier” “Reimbursement Date to USAC” moved to Block 3 Discount column added to Block 2

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E-rate Program

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  1. E-rate Program New FCC Form 472

  2. Overview Changes to FCC Form 472, Billed Entity Applicant Reimbursement (BEAR) Form • “Reimbursement Form Number” moved to top and renamed “Applicant Form Identifier” • “Reimbursement Date to USAC” moved to Block 3 • Discount column added to Block 2 • Some form items renumbered due to the above changes • Extraneous or confusing text removed • Certification language added

  3. FCC Form 472 Login

  4. FCC Form 472 Login

  5. FCC Form 472 Block 1

  6. BEAR Form (Form view after online submission) Block 1 - Slide 7 Block 2 - Slide 8 Block 3 - Slide 9

  7. BEAR Form Block 1

  8. BEAR Form Block 2

  9. BEAR Form Block 3

  10. Block 3 Certifications

  11. Block 3 Certifications I declare under penalty of perjury that the foregoing is true and correct and that I am authorized to submit this Billed Entity Applicant Reimbursement Form on behalf of the eligible schools, libraries, or consortia of those entities represented on this Form, and I certify to the best of my knowledge, information and belief, as follows: ………………………………………………………………………. • I recognize that I may be audited pursuant to this application and will retain for at least five years (or whatever retention period is required by the rules in effect at the time of this certification), after the last day of service delivered in this funding year any and all records that I rely upon to fill in this form.

  12. Block 3 Certifications • I certify that, in addition to the foregoing, this Billed Entity Applicant is in compliance with the rules and orders governing the schools and libraries universal service support program, and I acknowledge that failure to be in compliance and remain in compliance with those rules and orders may result in the denial of discount funding and/or cancellation of funding commitments. I acknowledge that failure to comply with the rules and orders governing the schools and libraries universal service support program could result in civil or criminal prosecution by law enforcement authorities.

  13. Questions?

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