20130201FCC Form 555 Cricket Communications, Inc.pdf

L 1 Davis Wright
im, Tremaine LLP
R C E!
26I3FER-f AMII:51+
Suite 2400
1300 SW Fifth Avenue
Portland, OR 97201-5630
Alan J. Galloway
503.778.5219 tel
503.778.5299 fax '. • tL ',• alangalloway©dwt.com
GNR-i- 13-0!
February 1, 2013
VIA EMAIL ONLY
Jean D. Jewell, Secretary
Idaho Public Utilities Commission
472 West Washington
Boise, ID 83702-5983
Re: 2013 ETC-Lifeline Certification
Dear Ms. Jewell:
On behalf of Cricket Communications, Inc. ("Cricket"), attached please find a copy of Cricket's
FCC Form 555 certification form for Idaho, which is hereby submitted to the Idaho Public
Utilities Commission pursuant to 47 C.F.R. § 54.416(b).
Please let me know if you have any questions concerning the submission of the form.
Very truly yours,
Davis Wright Tremaine LLP
Alan J. ((SIlo
Of Attorneys for Cricket Communications, Inc.
AJOIcap
DWT 21076876v 1 0052215-001685
Anchorage New York Seattle
Bellevue Portland Shanghai
Los Angeles San Francisco Washington. D.C. www.dwt.com
Approved by OMB
3060-0819
FCC Form 555
November 2012
Annual Lifeline Eligible Telecommunications Carrier Certification Form
All carriers must complete Sections 1, 2, and 3. Carriers must complete Section 4, if applicable.
Deadline: January 31'(A nnually)
ID
State
(An Eligible Telecommunications Carrier (ETC) must provide a certWcation form for each state in which it
provides Lifeline service).
479014 CRICKET COMMUNICATIONS. ID
Study Area Code(s) (SAC) ETC Name(s)
Cricket Communications Cricket Communications
Holding Company Name(s) DBA, Marketing or Other Branding Name(s)
Affiliated ETCs (include names and SACs,
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 rji
(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).
AND/OR
I certify that the company listed above confirms consumer eligibility by relying on Community Action Palnership. Notice of Eligibility
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 eligibilityfrom the state Lifeline administrator and indicate for
which qualifying programs (e.g., SNAP, 5Sf) these sources are used to verify 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 rji
479014
(List the specific AU(s) for which you are making this certification f it is not applicable to all of your 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 rji
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
Resellers
0 1 0
C D E =C-D F G = (E+F) H
Number of Number of Number ofNon- 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
I J K L
Number of Number of Customers De- Number of Subscribers Who De-Enrolled
Number of Subscribers Subscribers Whose enrolled or Scheduled to be De- 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
Ineligible
92 1 1 0
Approved by OMB
3060-0819
FCC Form 555
November 2012
OR
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 rji
(List the speqflc 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 f necessary).
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 rji
Section 4: Non-Usage Applicable to Certain Pre-Paid ETCs (the ETC does not assess or collect a monthlyfee
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 0
February 0
March 0
April 0
May 0
June 0
July 0
August 0
September o
October 0
November 0
December 0
Signed,
Robert J. Irving, Jr. Robert J. Irving, Jr.
Signature of Officer Printed Name of Officer
SVP, GC and Chief Admin Officer Jan-31-13
Title of Officer Date
Julie Buechler 858-882-9303
Person Completing this Certification Form Contact Phone Number