Forms Assistance

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)

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)

E-Rate Central Forms Rack