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DNC-WAV Form

ICR 202606-3060-009 · OMB 3060-1029 · Object 169430801.

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Document Metadata
File Typeapplication/pdf
File TitleDNC-WAV Form
AuthorCathy Williams
File Modified2026-06-02
File Created2025-05-14
Conversion Statecomplete
Extracted Text
ICFS Form - ICFS Portal

https://fccuat.servicenowservices.com/ibfs?id=app&subsystem=DNC&...

• Indicates required

FCC 245
DNC-WAV

FEDERAL COMMUNICATIONS COMMISSION
FCC Waiver Application for Data Network
Identification Code

Save as Draft

ApprovedbyOMB
3060-1029
Estimated Time Per Response: 2 hours
Edition Date: May 2025

Review to Submit

I

See Instructions r! Print Form r!

Llm;ilicant Information
*FRN

Name

Attention

Doing Business As (OBA)

Title

Street Address

Phone

Street Address 2

Fax

City

Email

State

• ApplicanULicensee Legal Entity Type
- None••

Zip Code/Postal Code

Country

2. Contact Information
0 Check here if same as Applicant
FRN

Name

Attention

Doing Business As (DBA)

Title

Street Address

Phone

Street Address 2

Fax

City

Email

Contact State

• Relationship

- None••
Zip Code/Postal Code

Country

l of3

5/6/2025, 9:21 PM