Archived Forms

Form 470

Form 471

Form 486

  • Receipt of Service Confirmation and Children’s Internet Protection Act Certification Form
  • File immediately after receiving FCDL
  • File in EPC:  VIDEO
  • Leave default service start date (07/01/XXXX) – Do not change from July 1 !!!!

Form 472 (BEAR)

  • You must have a PIN (personal identification number). Get one HERE.
  • If you do not have a USAC assigned PIN, you must contact the CSB, Client Service Bureau to request. This can take 14 or more days.
  • Must have a 498 on file in EPC (see below for directions).
  • Online BEAR instructions (legacy system).

Form 498

If you ever have to file a BEAR and have USAC reimburse you, you MUST have a 498 on file for direct deposit.

Form 500


Form 479

USAC Forms Site (Guides and Information)

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