800 Response Information Services LLC Annual Update 2015.pdf

RO.Box 83720
I L’1Facsimile208-334-3762
[e-mail]
Notice to the Idaho Public Utilities Commission
Rule 606.01,TCRR,IDAPA 31.41.01
All telephone corporations (except cooperative telephone corporations)tormed since January 1,198 must tile a notice
before offering telecommunications services in Idaho.These corporations include but are not limited to sellers of MTS
or WATS,resellers of MTS or WATS services,Operator Service Providers,Data Providers,etc.These notices must
be updated at least annually between December 1 and December 31 each year and whenever there is a change in the
telephone corporation’s name,address or agent.I ft m t .d k C t I
Date:
The notice must contain the followina information:
__________________________________________________
a.Name of the Telephone Corporation 7
Assumed Business Name (if applicable)
Corporate Mailing Address Regulatory Contact
Address Line #1
Address Line #2
City,State,Zip
Telephone Number
Facsimile Number
Electronic Address (e-mail)
.)I
,.
7
ft I
.,
Operations Mailing Address (if different)Name
Address Line #1
Address Line #2
City,State,Zip
Telephone Number
Facsimile Number
Electronic Address (e-mail)
An agent in Idaho for service of process Name
Address Line #1
Address Line #2
City,State,Zip
Agent’s electronic address
b,
c.
d.Person responsible for handling consumer inquiries,complaints,etc.by the public
Name
Toll-Free Telephone Number
Facsimile Number
Electronic Address (e-mail)
Person(s)designated as Customer Service contact for the Commission Staff in resolving consumer
complaints,responding to consumer inquiries and answering matters concerning rates and price lists or
e.tariffs
______________________________________________
Name
________________________________________
Address Line #1
_________________________________________________
Address Line #2
______________________________________________
City,State,Zip
_________________________________________________
Telephone Number
______________________________________________
Facsimile Number
______________________________________________
Electronic Address (e-mail)Where possible,please
provide a general or shared mailbox address
______________________________________________
Person responsible for compliance in filing of repo ts and payment of fees due to the commission or its
f.Administrators
________________________________________________
Name //j,i
Address Line #1
__________________________________________________
Address Line#2
_________________________________________
City,State,Zip
___________________________________________
Telephone Number
_______________________________________________
Facsimile Number
_______________________________________________
Electronic Address (e-mail)
_________________
—i
Please cancel my price list/tariff
Please cancel my Certificate of Public Convenience And Necessity
Date Authorized Representative