HomeMy WebLinkAbout254ecertificationform_ws.docState of _____________ ) CERTIFICATION BY ELIGIBLE
) ss TELECOMMUNICATION CARRIER PURSUANT
County of ___________ ) TO FCC ORDER NO. 01-157
Affidavit of Business or Corporate Officer
Section 254(e) of the Telecommunications Act of 1996 requires that an eligible telecommunications carrier receiving federal universal service support “shall use that support only for the provision, maintenance, and upgrading of facilities and services for which the support is intended.” In FCC Order No. 01-157 issued May 23, 2001, the Federal Communications Commission concluded “that states should be required to file annual certification with the Commission to ensure that carriers use universal service support ‘only for the provision, maintenance and upgrading of facilities and services for which the support is intended’ consistent with Section 254(e).” Fourteenth Report and Order, Twenty-Second Order on Reconsideration, and Further Notice of Proposed Rulemaking in CC Docket No. 96-45, and Report and Order in CC Docket No. 00-256, ¶187. Accordingly, the undersigned states and verifies under oath as follows:
I am an officer of which is an eligible telecommunications
(company name)
carrier for receiving federal universal service support under Section 214(e) of the Telecommunications Act of 1996.
All federal universal service support funds received by ________________________________
(company name)
during the 2001 calendar year will be used in a manner consistent with Section 254(e); that is, for the provision, maintenance, and upgrading of facilities and services for which the support is intended.
This verification and affidavit is provided to the Idaho Public Utilities Commission to enable the IPUC to certify to the Federal Communications Commission that federal universal support received by the eligible carriers in the state will be used in a manner consistent with Section 254(e) of the Telecommunications Act.
Date Signature
Print Name and Title
SUBSCRIBED AND SWORN to before me this _________ day of ______________ 2001.
Notary Public for ______________, residing at ____________________,
My Commission expires___________________________