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CLEC Forms

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

The forms on this page have been made obsolete by the March 2014 adoption of new telephone utility rules.  See Telephone Utilities FAQs for information on these new rules.

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