1. Form 486 Step-by-Step Receipt of Service Confirmation Train-the-Trainer Workshop September 17-18, 2001 Schools & Libraries Division, USAC

2. September 17-18, 2001 2 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uPurpose n Informs SLD when the Billed Entity and/or the eligible entities it represents is receiving, is scheduled to receive, or has received service n Receipt by SLD triggers the process for SLD to receive invoices uUniversal service support will not be paid to a Service Provider on an approved funding commitment prior to the SLDs receipt of the Form 486

3. Schools & Libraries Division, USAC September 17-18, 2001 3 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uPurpose (cont.) n Form 486 must be filed to accomplish the following: uTo authorize the payment of invoices from your Service Provider(s) uTo indicate approval of Technology Plans (as required) uTo indicate, starting in Funding Year 4, the status of compliance with the Childrens Internet Protection Act (CIPA)

4. Schools & Libraries Division, USAC September 17-18, 2001 4 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uImpact of CIPA Requirements n Beginning with Funding Year 4, the Childrens Internet Protection Act (CIPA) requirements apply to Internet Access and Internal Connections requests uAlthough CIPA requirements do not apply to Telecommunications Services, Billed Entities applying only for Telecommunications Services must still, in general, make certifications to that effect n Certifications for the purpose of CIPA for Telecommunications Services, Internet Access and Internal Connections are featured on Form 486

5. Schools & Libraries Division, USAC September 17-18, 2001 5 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uWho must make the CIPA certification? n The Administrative Authority for a school or library is the entity that must make the relevant certification uIf the Administrative Authority is also the Billed Entity, the Administrative Authority certifies on the Form 486 uIf the Administrative Authority is not the Billed Entity, the Administrative Authority must complete Form 479 and submit Form 479 to the Billed Entity

6. Schools & Libraries Division, USAC September 17-18, 2001 6 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uWho Must File the Form 486? n The Billed Entity representing a school, school district, library (outlet/branch, system), or a consortium of those entities who completed and submitted the Form 471 to which the Form 486 relates

7. Schools & Libraries Division, USAC September 17-18, 2001 7 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uHow Many Forms 486 to File? n Early filing uYou may have one or more early Forms 486 and one or more later Forms 486 n Timing of start dates uIf multiple FRNs have the same or similar start dates for service, you may file one Form 486 for all of those FRNs

8. Schools & Libraries Division, USAC September 17-18, 2001 8 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uHow Many Forms 486 to File? (cont.) n Availability of information uAll components of information are required to be completed uIf required information for a particular FRN is missing, a separate Form 486 should be submitted for that FRN n Your Form 486 may be rejected and returned to you without being accepted and processed if information is missing

9. Schools & Libraries Division, USAC September 17-18, 2001 9 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uHow Many Forms 486 to File? (cont.) n You must complete a separate Form 486 if: uYou receive Funding Commitment Decision Letters (FCDLs) featuring more that one entity number uThe Item 11a certification applies to certain FRNs and the Item 11b certification applies to other FRNs (for Funding Year 4 and later) uYou file a waiver of CIPA requirements for a portion of your funded FRNs (for Funding Year 5 and later)

10. Schools & Libraries Division, USAC September 17-18, 2001 10 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uWhen to File? n No earlier than the receipt of an FCDL n Funding Years 1, 2, and 3 uShould file within ten days of the start of services n Funding Year 4 and later uSee CIPA presentation for detailed information on deadlines for Funding Year 4 and later

11. Schools & Libraries Division, USAC September 17-18, 2001 11 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uWhere to File? n File with Schools and Libraries Division uManually, mailing address (P.O. Box): n SLD - Form 486 P.O. Box 7026 Lawrence, KS 66044-7026

12. Schools & Libraries Division, USAC September 17-18, 2001 12 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uWhere to File? (cont.) n File with Schools and Libraries Division uManually (Express delivery or U.S. Postal Service Return Receipt) n SLD - Form 486 c/o Ms. Smith 3833 Greenway Drive Lawrence, KS 66046 Telephone number for receipt purposes: 888-203-8100

13. Schools & Libraries Division, USAC September 17-18, 2001 13 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Receipt of Service Confirmation Form uCompliance n Schools and libraries filing false information are subject to penalties n Applicants should retain the records they use to complete these forms for five years n If applicants represent multiple entities, the data collected from those entities must also be kept for five years

14. Schools & Libraries Division, USAC September 17-18, 2001 14 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486: Top of Form, page 1 uData are used to help both applicant and SLD identify each Form 486 you file n Do Not Write In This Area: Space is used to apply a barcode upon receipt to track and archive your form n Applicants Form Identifier: Use this space to assign a number or letter of your own devising to facilitate communication with SLD about THIS particular Form 486. n Form 486 Application #: The SLD will insert your Form 486 number. Leave this item blank.

15. Schools & Libraries Division, USAC September 17-18, 2001 15 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486: Top of Form, pages 2-5 uTop of each page after page 1: To help alleviate problems caused if pages of the application become separated, please provide: n Entity Number (from Item 2 below) n Applicants Form Identifier (from Top of Form, page 1) n Name of Contact Person (from Item 5 below) n Contact Person Telephone Number (from Item 5 below)

16. Schools & Libraries Division, USAC September 17-18, 2001 16 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 1: Billed Entity Information uItem 1 – Name of Billed Entity n Provide the name of the Billed Entity as indicated on the corresponding Funding Commitment Decision Letter (FCDL) uItem 2 – Billed Entity Number n Provide the Billed Entity Number as it appears on your FCDL

17. Schools & Libraries Division, USAC September 17-18, 2001 17 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 1: Billed Entity Information uItem 3 – Funding Year n Provide the Funding Year for which your funds were approved, e.g., 07/01/2001– 06/30/2002 n The Funding Year must be the same as the Funding Year contained in your FCDL for the corresponding Form 471 n Cite only one Funding Year in this item

18. Schools & Libraries Division, USAC September 17-18, 2001 18 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 1: Billed Entity Information uItem 4 – Complete Mailing Address of Billed Entity n Street Address, P.O. Box or Route Number, City, State, Zip Code uYou are strongly encouraged to provide a street address rather than a P.O. Box if possible n 10-Digit Telephone Number (plus extension) n Fax Telephone Number (10 digits) n E-Mail Address (50 characters maximum)

19. Schools & Libraries Division, USAC September 17-18, 2001 19 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 1: Billed Entity Information uItem 5 – Contact Person Information n Contact Person Name uProvide the name of the person who should be contacted with questions about this form n Contact Person Mailing Address (if different from Item 4) uProvide the mailing address for the Contact Person, and 10-digit telephone number, fax number, and e-mail address if different from the information in Item 4 uCheck the preferred mode of contact

20. Schools & Libraries Division, USAC September 17-18, 2001 20 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 2a: FUNDING YEAR 4 ONLY – Early Filing Information uItem 6A – Early Filing for Funding Year 4 n Check this box if you wish to file your Form 486 before services have started in Funding Year 4. You may file early if: uYou have received your FCDL uYou have confirmed with the named Service Provider that services you ordered will start on the Service Start Date, which must be on or before October 28, 2001 uYou are able to accurately make all relevant certifications in Block 4, and

21. Schools & Libraries Division, USAC September 17-18, 2001 21 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 2a: FUNDING YEAR 4 ONLY – Early Filing Information uItem 6A – Early Filing for Funding Year 4 (cont.) n Your Form 486, including your certification in Item 11, must be postmarked on or before October 28, 2001 n If you are submitting Form 486 after services have started, do not check this box

22. Schools & Libraries Division, USAC September 17-18, 2001 22 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 2b: FUNDING YEARS AFTER FUNDING YEAR 4 – Early Filing Information & CIPA Waiver Request uItem 6B – Early Filing after Funding Year 4 n Check this box if you wish to file your Form 486 before services have started in Funding Years after Funding Year 4. You may file early if: uYou have received your FCDL uYou have confirmed with the named Service Provider that the services you ordered will start on the Service Start Date, which must be on or before July 31 of the relevant Funding Year uYou are able to accurately make all relevant certifications in Block 4

23. Schools & Libraries Division, USAC September 17-18, 2001 23 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 2b: FUNDING YEARS AFTER FUNDING YEAR 4 – Early Filing Information & CIPA Waiver Request uItem 6B – Early Filing after Funding Year 4 (cont.) n Your Form 486, including your certification in Item 11, must be postmarked on or before July 31 of the relevant Funding Year n If you are submitting Form 486 after services have started, do not check this box

24. Schools & Libraries Division, USAC September 17-18, 2001 24 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 2b: FUNDING YEARS AFTER FUNDING YEAR 4 – Early Filing Information & CIPA Waiver Request uItem 6C – CIPA Waiver Request n If you are a Billed Entity who is also the Administrative Authority for the purpose of CIPA, you must check this item if you need to request a waiver from CIPA requirements in the Second Funding Year in which you apply for funds (See CIPA presentation for further details)

25. Schools & Libraries Division, USAC September 17-18, 2001 25 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 3: Service Information uItem 7 – Service Information n Provide the information for each Form 471 Block 5 (Discount Funding Request). This information must be obtained from the FCDL sent to you by SLD. uColumn (A) – 471 Application Number uColumn (B) – FRN for the services to be provided uColumn (C) – Billing Account Number (if contained in your FCDL) uColumn (D) – Service Provider Name uColumn (E) – Service Provider Identification Number (SPIN)

26. Schools & Libraries Division, USAC September 17-18, 2001 26 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 3: Service Information uItem 7 – Column F, Funding Year Service Start Date n For each FRN, provide the date on which the service for that FRN started or, in certain circumstances, is scheduled to start n In no instance can this date be earlier than July 1 of the relevant Funding Year n The FRNs listed must be from the same Funding Year as is listed in Block 1, Item 3

27. Schools & Libraries Division, USAC September 17-18, 2001 27 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 8 – Technology Plan Certifications n Certify that the technology plan(s) covering the services listed for all the eligible entities who are recipients of services covered under your Form 486 have been approved by an authorized organization(s) certified by the SLD n Provide the name(s) of the organization(s) who are the technology plan approver(s) that approved a technology plan for any eligible entity receiving services covered under your Form 486 n If EVERY FRN listed in the Form 486 is for basic telephone service only, enter none.

28. Schools & Libraries Division, USAC September 17-18, 2001 28 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 9 – Services Certifications n Certify that the services listed on this Form 486 are planned to be or are being provided to the eligible entities identified in the Form 471 application(s) cited in this Form 486 n Certify that there are signed contracts covering all the services listed except for those services provided under tariff or on a month-to-month basis n Certify that the individual signing on behalf of the Billed Entity is authorized to submit the information and that all statements of fact contained in Form 486 are true

29. Schools & Libraries Division, USAC September 17-18, 2001 29 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 10 – Shared Service and Audit Certifications n Certify that you understand that the discount level used for shared services is conditional, for future years, upon ensuring that the most disadvantaged schools and libraries treated as sharing in the services receive an appropriate share of benefits from those services n Certify that you recognize that you may be audited pursuant to this application; that you will retain for five years any and all records that you rely upon to complete this form and, if audited, that you will make available to the SLD such records

30. Schools & Libraries Division, USAC September 17-18, 2001 30 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 11 – CIPA Certifications n This item concerns compliance with the requirements of the Childrens Internet Protection Act (CIPA) n If this Form 486 pertains to a Funding Year prior to Funding Year 4, skip Item 11 and go to Item 12 n If this Form 486 pertains to Funding Year 4 or later, Item 11 must be completed

31. Schools & Libraries Division, USAC September 17-18, 2001 31 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 11 – CIPA Certifications (cont.) n General Instructions uA Billed Entity who is a recipient of service must check Item 11a or 11b or 11c uA Billed Entity who represents one or more Administrative Entities must check Item 11d or 11e uFor Funding Years after Funding Year 4, a Billed Entity who must collect Forms 479 and who checks Item 11d must check Item 11f or 11g

32. Schools & Libraries Division, USAC September 17-18, 2001 32 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 11 – CIPA Certifications (cont.) n For a Billed Entity who is the Administrative Authority uCheck Item 11a if you certify that the recipients of service have complied with CIPA requirements uCheck Item 11b if you certify that the recipients of service are undertaking actions to comply with CIPA for the next Funding Year, but have not completed all requirements of CIPA for this Funding Year

33. Schools & Libraries Division, USAC September 17-18, 2001 33 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 11 – CIPA Certifications (cont.) n For a Billed Entity who is the Administrative Authority uCheck Item 11c if you certify that CIPA does not apply because the recipients of service are receiving discount services only for Telecommunications Services uRemember to check only the ONE box in Items 11a through 11c that describes the status of compliance with CIPA

34. Schools & Libraries Division, USAC September 17-18, 2001 34 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 11 – CIPA Certifications (cont.) n For a Billed Entity who represents one or more Administrative Authorities uCheck Item 11d if you certify, as the Billed Entity for the consortium or for the Administrative Authorities you represent, that you have collected duly completed and signed Forms 479 uCheck Item 11e if you certify, as the Billed Entity for the consortium or for the Administrative Authorities you represent, that the only services for which you have been approved for discounts are Telecommunications Services, and therefore the requirements of CIPA do not apply

35. Schools & Libraries Division, USAC September 17-18, 2001 35 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItem 11 – CIPA Certifications (cont.) n For a Billed Entity who represents one or more Administrative Authorities uFor Funding Years after Funding Year 4: Check Item 11f if you certify, as the Billed Entity for the Administrative Authorities you represent, that some or all of the entities who filed Form 479 are seeking a CIPA Waiver by checking Form 479 Item 6d uFor Funding Years after Funding Year 4: Check Item 11g if you certify, as the Billed Entity for the Administrative Authorities you represent, that none of the entities who filed Form 479 is seeking a CIPA Waiver by checking Form 479 Item 6d

36. Schools & Libraries Division, USAC September 17-18, 2001 36 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486, Block 4: Certifications and Signature uItems 12-16 – Authorized Signature n The Authorized Person must sign the form using an original ink signature in Item 12 and provide: uItem 13 - Signature Date uItem 14 - Printed Name of Authorized Person whose signature is provided in Item 12 uItem 15 - Title or Position of Authorized Person uItem 16 - Telephone Number of Authorized Person

37. Schools & Libraries Division, USAC September 17-18, 2001 37 The information on this slide is believed to be true and accurate as of September 4, 2001. Form 486 – Filing of Form uSubmit completed form: n Mailing Address: uSLD - Form 486 P.O. Box 7026 Lawrence, KS 66044-7026 n For express delivery services or U.S. Postal Service Return Receipt Requested: uSLD - Form 486 c/o Ms. Smith 3833 Greenway Drive Lawrence, KS 66046 Telephone number for receipt purposes: 888-203-8100

38. Schools & Libraries Division, USAC September 17-18, 2001 38 The information on this slide is believed to be true and accurate as of September 4, 2001. Where to Go For Help uOn the Web: www.sl.universalservice.org uClient Service Bureau: 1-888-203-8100 uVia E-mail: question@universalservice.org uVia fax: 1-888-276-8736