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CLEC Forms

If you experience any problems with these forms please contact Josie Gage at 603-271-6028 or e-mail her at josie.gage@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

•

 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
 as needed