HomeMy WebLinkAbout20130131FCC Form 555 Frontier Communications Northwest Inc.pdfRECEftT) er 31 02 t/F O P
I 9260 E Stockton Blvd SS
Elk Grove, CA 95624
January 29, 2013
Mrs. Jean Jewell
Commission Secretary
Idaho Public Utilities Commission
472 West Washington Street
Boise, ID 83720
RE: Annual Eligibility Re-Certification of Lifeline Subscribers
Dear Mrs. Jewell:
Citizens Telecommunications Company of Idaho d/b/a Frontier Communications of
Idaho and Frontier Communications Northwest, Inc herein after referred to as "Frontier"
hereby provides a copy of its Annual Lifeline Eligible Telecommunications Carrier
Certification Form in compliance with 47 CFR 54.416 as adopted by the Federal
Communication Commission (FCC) in its Lifeline Reform Order, FCC 12-11, released
February 6, 2012.
Section 54.416(b) requires eligible telecommunication carriers (ETCs) to annually
provide the results of their re-certification efforts performed pursuant to Section 54.410
(f) to the FCC and the Universal Service Administrative Company (USAC). ETCs are
also required to provide the results of their re-certification efforts to state commissions
and relevant tribal governments.
If you have any questions, please contact me at (916) 686-3588 or by email at
ioe.chicoineftr.com .
Respec II ubmitted,
oe Chicoine
Manager, Regulatory Compliance and Reporting
Enclosures
cc: Renee Wilier
Approved by OMB
3060-0819
FCC Form 555 ZUI3 JAN 3! PM 1:02 November 2012
Annual Lifeline Eligible TetecommuriicaliOns Carrier.Ccrtification Form
All carriers must complete Sections 1, 2, and 3. Carriers must complete Section 4, if applicable.
Deadline: January 31(Annually)
IDAHO
State
(An Eligible Telecommunications Carrier (ETC) must provide a certification form for each state in which it
provides Lifeline service).
472416 Frontier Communications Northwest Inc.
Study Area Code(s) (SAC) ETC Name(s)
Frontier Communications Corporation n/a
Holding Company Name(s) DBA, Marketing or Other Branding Name(s)
Affiliated ETCs (include names and SAG, See attached attach additional sheets if necessary)
Section 1: All ETCs (Initial the certification that applies to your ETC. Depending on the state, both
certifications may apply).
I certify that the company listed above has certification procedures in place to review income and program-based
eligibility documentation prior to enrolling a customer in the Lifeline program, and that, to the best of my
knowledge, the company was presented with documentation of each consumer's household income and/or
program-based eligibility prior to his or her enrollment in Lifeline. I am an officer of the company named above.
I am authorized to make this certification for the Study Area(s) listed above. Initial -
(List the spec/ic SAC(s)/br which you are making this certification i/it is not applicable to all ofyour study
areas within the state. Attach additional sheets i/necessary).
AND/OR
I certify that the company listed above confirms consumer eligibility by relying on Community Action Partnership
Association of Idaho prior to enrolling a customer in the Lifeline program. (Please list the program eligibility data
sources, such as ETC access to a state database and/or notice of eligibility from the state Lifeline administrator and
indicate for which qual Jj'ing programs (e.g., SNAP, SSI) these sources are used to ver)5' consumer eligibility). I
am an officer of the company named above. I am authorized to make this certification for the Study Area(s) listed
above. Initial ''
(List the specific SAC(s) for which you are making this certification if it is not applicable to all ofyour study
areas within the state. Attach additional sheets if necessary).
Approved by OMB
3060-0819
FCC Form 555
November 2012
Section 2: All ETCS(Initial the certification that applies to your ETC, and if applicable, complete columns A
through L the tables below. Attach additional sheets if necessary).
I certify that the company listed above has procedures in place to re-certify the continued eligibility of all of its
Lifeline customers, and that, to the best of my knowledge, the company obtained signed certifications from all
consumers attesting to their continuing eligibility for Lifeline, except those subscribers whose eligibility was
verified by the company through the use of other sources of eligibility information as well as those subscribers
who were re-certified by the state Lifeline administrator. Results are provided in the chart below. I am an officer
of the company named above. I am authorized to make this certification for the Study Area(s) listed above.
Initial
A B
Number of Number of
Subscribers Lines
Claimed on Claimed on
May FCC May FCC
Form(s) 497 Form(s) 497
Provided to
Wireline
Reseflers
3331 0
C D E =C-D F G = (E+F) H
Number of Number of Number of Non- Number of Number of Number of
Subscribers ETC Subscribers Responding Subscribers Subscribers De- Subscribers Who
Contacted Directly Responding to Subscribers Responding That Enrolled or De-Enrolled Prior
to Recertify ETC Contact They Are No Scheduled to be to Recertification
Eligibility Through Longer Eligible De-Enrolled as a Attempt
Attestation Result of Non-
Response or
Ineligibility
0 0 0 0 0 0
r J K L
Number of Number of Customers Dc- Number of Subscribers Who De-Enrolled
Number of Subscribers Subscribers Whose enrolled or Scheduled to be Dc. Prior to Recertification Attempt
Whose Eligibility was Eligibility Was Enrolled as a Result of a Finding
Reviewed By State Examined by State of Ineligibility
Administrator or By Administrator or By
ETC Access to Eligibility ETC Access to
Data Eligibility Data and
Found to be
I Ineligible
3303 1287 1287 0
Approved by OMB
3060-0819
FCC Form 555
November 2012
['111
I certify that my company did not claim federal Low Income support for any Lifeline customers prior to June -
(insert current year). I am an officer of the company named above. I am authorized to make this certification for
the Study Area(s) listed above. Initial
(List the specific SAC(s) for which you are making this certification if it is not applicable to all ofyour study
areas within the state. Attach additional sheets ifnecessaiy).
Section 3: All ETCs (Initial the certification below).
I certify that the company listed above is in compliance with all federal Lifeline certification procedures. I am an
officer of the company named above. I am authorized to make this certification for the Study Area(s) listed
above. Initial
Section 4: Non-Usage Applicable to Certain Pre-Paid ETCs (the ETC does not assess or collect a monthly fee
from its Lifeline subscribers)(Record the number of subscribers de-enrolledfor non-usage by month in column N
below).
M N
Month Subscribers De-Enrolled for Non-Usage
January n/a
February n/a
March n/a
April n/a
May n/a
June n/a
July n/a
August n/a
September n/a
October n/a
November n/a
December n/a
Signed,
Kenneth Mason
Signature of Officer
Vice President, Government & Regulatory Affairs
Title of Officer
Cassandra Cole
Person Completing this Certification Form
Printed Name of Officer
1-24-2013
Date
740-383-0490
Contact Phone Number
FRONTIER COMMUNICATIONS CORPORATION
ETC Affiliate List for Use with FCC Form 555- Annual Lifeline Eligible
Telecommunications Carrier Certification Form
Name D/B/A State
Frontier Communications of Alabama, LLC N/A AL 250306
Frontier Communications of Lamar County, LLC N/A AL 250301
Frontier Communications of the South, LLC N/A AL 250318
Citizens Telecommunications Company of the White Mountains, Inc. Frontier Communications of the White Mountains AZ 454426
Citizens Utilities Rural Company, Inc. Frontier Citizens Utilities Rural AZ 452172
Frontier Communications of the Southwest Inc. N/A AZ 452302
Navajo Communications Company, Inc. Frontier Navajo Communications AZ 454449
Citizens Telecommunications Company of California Inc. Frontier Communications of California CA
542308
542315
544342
543402
Frontier Communications of the Southwest Inc. N/A CA 541863
Frontier Communications West Coast Inc. N/A CA 542344
Frontier Communications of the South, LLC N/A FL 210318
Frontier Communications of Fairmount LLC N/A GA 220362
Frontier Communications of Georgia LLC N/A GA 220387
Citizens Telecommunications Company of Minnesota, LLC Frontier Citizens Communications of Minnesota IA 367123
Frontier Communications of Iowa, LLC N/A IA 351127
Citizens Telecommunications Company of Idaho Frontier Communications of Idaho ID 474427
Frontier Communications Northwest Inc. N/A ID 472416
Citizens Telecommunications Company of Illinois Frontier Citizens Communications of Illinois IL 341183
Frontier Communications of DePue, Inc. N/A IL 340998
Frontier Communications of Illinois, Inc. N/A IL 341038
Frontier Communications of Lakeside, Inc. N/A IL 341011
Frontier Communications-- Midland, Inc. N/A IL 341055
Frontier Communications of Mt. Pulaski, Inc. N/A IL 341061
Frontier Communications of Orion, Inc. N/A IL 341067
Frontier Communications-- Prairie, Inc. N/A IL _ 341073
Frontier Communications-- Schuyler, Inc. N/A IL _ 341079
Frontier Communications of the Carolinas Inc. N/A IL _ 343035
Frontier North Inc. N/A IL _ 341015
341036
Frontier Communications of Indiana LLC N/A IN _ 320750
Frontier Communications of Thorntown LLC N/A IN _ 320828
Frontier Midstates Inc. N/A IN _ 323034
Frontier North Inc. N/A IN
320772
320779
Frontier Communications of Michigan, Inc. N/A Ml 310682
Frontier Midstates Inc. N/A Ml 313033
Frontier North Inc. N/A Ml 310695
Citizens Telecommunications Company of Minnesota, LLC Frontier Citizens Communications of Minnesota MN
361123
367123
Frontier Communications of Minnesota, Inc. N/A MN 361367
Frontier Communications of Mississippi LIC N/A MS 280460
Citizens Telecommunications Company of Montana Frontier Communications of Montana MI 484322
Frontier Communications of the Carolinas Inc. N/A NC
230479
230509
Citizens Telecommunications Company of Nebraska LLC Frontier Communications of Nebraska NE 371128
Navajo Communications Company, Inc. Frontier Navajo Communications NM 494449
Citizens Telecommunications Company of Nevada Frontier Communications of Nevada NV
554431
554432
Frontier Communications of the Southwest Inc. N/A NV 552302
Citizens Telecommunications Company of New York, Inc. Frontier Communications of New York NY
154532
154533
154534
FRONTIER COMMUNICATIONS CORPORATION
ETC Affiliate List for Use with FCC Form 555- Annual Lifeline Eligible
Telecommunications Carrier Certification Form
Name te jK Us
Frontier Communications of AuSable Valley, Inc. N/A NY 150072
Frontier Communications of New York, Inc. N/A NY 150100
Frontier Communications of Seneca-Gorham, Inc. N/A NY 150122
Frontier Communications of Sylvan Lake, Inc. N/A NY 150128
Frontier Telephone of Rochester, Inc. N/A NY 150121
Ogden Telephone Company Frontier Ogden Telephone Company NY 150110
Frontier Communications of Michigan, Inc. N/A OH 300682
Frontier North Inc. N/A OH 300615
Citizens Telecommunications Company of Oregon Frontier Communications of Oregon OR 533401
Frontier Communications Northwest Inc. N/A OR 532416
Citizens Telecommunications Company of New York, Inc. Frontier Communications of New York PA 154534
Commonwealth Telephone Company LLC
Frontier Communications Commonwealth Telephone
Company PA 170161
Frontier Communications of Breezewood, LIC N/A PA 170149
Frontier Communications of Canton, LLC N/A PA 170152
Frontier Communications of Lakewood, LLC N/A PA 170178
Frontier Communications of Oswayo River LLC N/A PA 170194
Frontier Communications of Pennsylvania, LLC N/A PA 170168
Frontier Communications of the Carolinas Inc. N/A SC
240479
240526
Citizens Telecommunications Company of Tennessee L.L.C. Frontier Communications of Tennessee TN 294336
Citizens Telecommunications Company of the Volunteer State LLC Frontier Communications of the Volunteer State TN 290580
Citizens Telecommunications Company of Utah Frontier Communications of Utah UT 504429
Navajo Communications Company, Inc. Frontier Navajo Communications UT 504449
Frontier Communications of Virginia, Inc. N/A VA 205050
Frontier Communications Northwest Inc. N/A WA
522416
522449
Citizens Telecommunications Company of Illinois Frontier Citizens Communications of Illinois WI 341183
Frontier Communications of Mondovi LLC N/A WI 330912
Frontier Communications -- St. Croix LLC N/A WI 330944
Frontier Communications of Viroqua LLC N/A WI 330967
Frontier Communications of Wisconsin LLC N/A WI 330964
Frontier North Inc. N/A WI 330886
Rhinelander Telephone LLC Frontier Rhinelander Telephone Company WI
330870
330891
330940
1 330941
Citizens Telecommunications Company of West Virginia Frontier Communications of West Virginia WV
200271
204338
204339
Frontier West Virginia Inc. N/A WV 205050