iusfinstruct.pdf

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IDAHO UNIVERSAL SERVICE FUND
MONTHLY SURCHARGE

INSTRUCTIONS FOR IUSF FORM 1.0

WHEN TO FILE:

Monthly data should be mailed or faxed in time to reach the Administrator’s
office by the first day of the month. A check for the amount of the Total
Monthly Surcharge (IUSF Form 1.0, line 10) should accompany the Form 1.0.
Checks should be made payable to Idaho Universal Service Fund. If you
choose to electronically transfer funds directly into the account, the funds
must be transferred by the first of the month. Please do not send cash.

WHERE TO FILE:

Monthly reports and accompanying checks should be sent to:

Alyson Anderson, Administrator
Idaho Universal Service Fund
1964 North 300 East
Centerville, UT 84014-1085

Phone: [phone]
Fax: [phone]
E-Mail: [e-mail]

Electronic payments should be sent to:

Bank of America Corporation
Richmond, VA
AB Number: 084301767

Idaho Universal Service Fund
Account Number : 040801123988

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COMPANY NAME:

Fill in the name of the Local Exchange Company or Toll Carrier for which you
are submitting information. If you are reporting data for more than one
company, please prepare separate forms for each company.

If a company provides both local and toll services a single form can be used to
report total surcharge revenues.

REPORTING PERIOD:

Companies should report data on the first day of the month for the last
complete monthly billing cycle billed by the first day of the calendar month
preceding the due date of the Form 1.0.

SECTIONS TO COMPLETE:

LOCAL EXCHANGE SERVICES

Indicate the number of residence and business lines in service during the
month to which the surcharge applies on lines 1 and 3. Pro-rated charges are
the surcharge for lines in service for a partial month. The Total Local
Surcharge (the sum of lines 1 through 4) should be shown on line 5.

MTS/WATS TYPE TOLL SERVICES

Indicate the Idaho intrastate billed MTS and WATS minutes for the reporting
period on line 6. Report the corresponding revenue on line 9. Multiply line 7
(surcharge rate) by line 6 (intrastate minutes) to determine the Total
MTS/WATS Surcharge on line 8.

TOTAL MONTHLY SURCHARGE REVENUES

The Total Monthly Surcharge on line 10 should be the sum of lines 5 and 8. A
check or transfer for this amount should be forwarded with the Form 1.0 to
the Administrator by the first day of the month.