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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