Competitive Carrier Line Count Report and Self-Certification as a Rural Carrier, FCC Forms 525 and 481

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Overview

Statement
Geocode Information
Dropped Locations

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Sheet 1: Statement

	FCC Form 481 OMD Control No. 3060-0986
54.313(e)(1)-(2) requires carriers report the total amount of Phase II support, if any, the price cap carrier used for capital expenditures in the previous calendar year. Please complete the statement below.
	Prior Calendar Year
The total amount of Phase II support that the price cap carrier used for capital expenditures in the previous calendar year is:

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Sheet 2: Geocode Information

Please use this tab to report Geocoded Information for locations newly built to in the prior calendar year (FCC 14-190, Paragraph 125)

15-Digit Census Block Code

NECA assigned operating company code (OCN)

Study Area Code (SAC)

Latitude (to six decimal places)

Longitude (to six decimal places)

Street address

City

State

Zip Code

Phase II-funded block or extremely high-cost census block

Date of deployment

Number of Units

Explanation (if # of units exceeds 1; e.g., a multi-dwelling unit)

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Sheet 3: Dropped Locations

Please use this tab to report Geocoded Information for locations newly built to in the prior calendar year (FCC 14-190, Paragraph 125)

Number of Dropped Locations in the Prior Calendar Year

15-Digit Census Block Code

NECA assigned operating company code (OCN)

Study Area Code (SAC)

Latitude (to six decimal places)

Longitude (to six decimal places)

Street address

City

State

Zip code

Phase II-funded block or extremely high-cost census block

Date of deployment

Number of Units

Explanation (if # of units exceeds 1; e.g., a multi-dwelling unit)