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CLEC Forms

If you experience any problems with these forms please contact us via email at Telecom@puc.nh.gov

Here is a link to the Puc 400 Rules. Use the bookmarks to navigate more easily in the Puc 400 rules.

Required Forms:

 Form
Rule Ref.
Due

•

 CLEC-1 Contact Information.doc
449.02
 Annually, on March 31st
and when information changes

•

 CLEC-2 Assessment Report.doc
449.03
 Annually, on March 31st

•

CLEC-3 Annual Report.xls
449.04
 Annually, on March 31st

•

 CLEC-4 Quality of Service Reports.doc
449.05
 Annually, on March 31st

•

 CLEC-5 Quality of Service Report Card.doc
449.06
 Annually, on March 31st

•

 CLEC-10 Application for Registration.doc
449.07
 New CLECs

•

 CLEC-11 Adoption of Model Tariff.doc
449.08
 New CLECs or as needed

•

 CLEC-12 Initiation of Operations.doc
449.09
 New CLECs

•

 CLEC-25 Rate Schedule Cover Sheet.doc

 
449.10
 New CLECs and biennially, on March 31st of each even numbered year
 

NOTE: When submitting CLEC-25 be sure to include a Rate Sheet, a schedule with rates for all services provided. Note that there is no specific form provided to prepare a Rate Sheet.
Rate Sheet requirements can be found in Puc Rule 431.06. A properly prepared Rate Sheet can be viewed at the link below.
Rate Sheet Example

 

•

 CLEC-30 Utility Accident Report.doc
449.11
 As needed

•

 CLEC-34 Discontinuance of Operations.doc
449.12
 As needed

•

 CLEC-35 Withdrawal of Application Authorization.doc
449.13
 As needed
•
 CLEC-36 Transfer of Customer Base.doc
449.14
 As needed
•
 CLEC-37 Change in Ownership.doc
449.15
 As needed
•
 CLEC-40 CLEC FX Eligibility.doc
449.16
 Annually and as needed to update facility readiness in new exchanges