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  Forms Documents saved as **PDF files** can be viewed and printed from any Windows, DOS, UNIX, MAC, or OS-2 platform that has Acrobat reader software (free from Adobe Systems, Inc.) installed and configured for use with the browser. Get the Free Reader.*All forms are PDF format unless otherwise noted*.fillable - Forms with this symbol are fillable in the Acrobat reader. This feature allows you to fill out the form on-screen for printing, and saving.Current FCC Forms | Expired or Replaced Forms | Obsolete Versions by WTB**Form No.****Form Name****Edition Date**44Application for Certification as an Accounting AuthorityJul 200845Annual Statistical Report of Settlement OperationsJun 1999159Electronic FilingfillablePDFRemittance Advice**See the****Fee Filing Guides****for more information.***NOTE: Mailing addresses for the forms that do not require electronic filing are located in the fee filing guides.*Feb 2003159-WElectronic FilingPDFInterstate Telephone Service Provider WorksheetAug 2008160Electronic FilingPDFCORES Registration FormMar 2022161Electronic FilingPDFCORES Update/Change FormsMar 2022175Electronic FilingApplication to Participate in an FCC Auction*form and instructions***Must be filed electronically**Oct 2000177Electronic FilingApplication to Participate in a Reverse Incentive Auction*form and instructions***Must be filed electronically**Nov 2015214Electronic FilingInternational Section 214 Authorization**Must be filed electronically**214-FCNElectronic FilingInternational Section 214-FCN-Foreign Carrier Afflications Notification**Must be filed electronically**214-STAElectronic FilingInternational Section 214-STA-Special Temporary Authority Application**Must be filed electronically**214-TCElectronic FilingInternational Section 214-TC-Assignment of Transfer of Control**Must be filed electronically**220Electronic FilingSubmarine Cable Landing License**Must be filed electronically**301Electronic FilingApplication for Construction Permit for Commercial Broadcast Station*forms, worksheets & instructions**(basic form 301 to be completed by all applicants)***Must be filed electronically**Jun 2018301-CAElectronic FilingApplication for Authority to Make Changes in a Class A Television Broadcast Station**Must be filed electronically**Aug 2011fillable302-AMApplication for AM Broadcast Station LicenseForm Instructions | Download InstructionsAug 1995302-CAElectronic FilingApplication for Class A Television Broadcast Station Construction Permit or LicenseJun 2002302-FMElectronic FilingApplication for FM Broadcast Station License**Must be filed electronically**Jun 2002302-DTVElectronic FilingApplication for Digital Television Broadcast Station License**Must be filed electronically**Jan 2008303-SElectronic FilingApplication for Renewal License for AM, FM, TV, Translator, or LPTV Station**Must be filed electronically**Television InstructionsJun 2018308Application for Permit to Deliver Programs to Foreign Broadcast StationsFeb 2018309Application for Authority to Construct or Make Changes in an International or Experimental Broadcast StationApr 1985310Application for an International, Experimental Television, Experimental Facsimile, or a Developmental Broadcast Station LicenseFeb 1977311Application for Renewal of an International, or Experimental Broadcast Station LicenseJun 1985fillable312Electronic FilingApplication for Satellite Space and Earth Station Authorizations**Must be filed electronically**Feb 1998312-EZElectronic FilingApplication for Satellite Space and Earth Station Authorizations**Must be filed electronically**312-RElectronic FilingApplication for Satellite Space and Earth Station Authorizations**Must be filed electronically**314Electronic FilingApplication for Consent to Assignment of Broadcast Station Construction Permit or License*instructions, worksheets & forms***Must be filed electronically**Sep 2020315Electronic FilingApplication for Consent to Transfer Control of Corporation Holding Broadcast Station Construction Permit or License*instructions, worksheets & forms***Must be filed electronically**Sep 2020316Electronic FilingApplication for Consent to Assignment of Radio Broadcast Station Construction Permit or License or Transfer of Control or Corporation Holding Radio Broadcast Station Construction Permit or License**Must be filed electronically**May 2017317Electronic FilingAnnual DTV Ancillary/Supplemental Services Report forDigital Television Stations*instructions & forms*Public Notice**Must be filed electronically**Oct 2011318Electronic FilingApplication for Construction Permit for a Low Power FM Broadcast Station**Must be filed electronically**Oct 2013319Electronic FilingApplication for a Low Power FM Broadcast Station License**Must be filed electronically**Aug 2000320Electronic FilingBasic Signal Leakage Performance Reportfor Media BureauMust be filed electronically via COALSJan 1999321Electronic FilingAeronautical Frequency NotificationMust be filed electronically via COALSDec 2003322Electronic FilingCable Community RegistrationMust be filed electronically via COALSDec 2003323Electronic FilingOwnership Report for Commerical Broadcast Station**Must be filed electronically via LMS**Sep 2022323-EElectronic FilingOwnership Report for Noncommercial Educational Broadcast Station**Must be filed electronically via LMS**Jul 2019324Electronic Filing**Cable** Operator, Mail Address, And Operational Status ChangesMust be filed electronically via COALSDec 2003325Electronic FilingAnnual Cable Operator ReportMust be filed electronically via COALSDec 2002327orElectronic FilingApplication for Cable Television Relay Service Station AuthorizationMay be filed electronically via COALSNov 2020328Certification of Franchising Authority to Regulate Basic Cable Service Rates and Initial Findings of Lack of Effective CompetitionSep 2015335-AMAll-Digitial AttachmentElectronic FilingAM Digital Notification**Must be filed electronically**Apr 2021335-FMElectronic FilingFM Digital Notification**Must be filed electronically**Jun 2010337Electronic FilingApplication for Extension of Time to Construct a Digital Television Broadcast Station**Must be filed electronically**Jan 2008338Modulation Dependent Carrier Level NotificationMar 2016340Electronic FilingApplication for Construction Permit for Reserved Channel Noncommercial Educational Broadcast Station (application, instructions, and worksheet)**Must be filed electronically**May 2017345Application for Transfer of Control of a Corporate Licensee or Permittee, or Assignment of License or Permit, for an FM or TV Translator Station, or a Low Power Television StationMay 2017346Electronic FilingApplication for Authority to Construct or Make Changes in a Low Power TV, TV Translator, or TV Booster Station**Must be filed electronically**Aug 2011347Electronic FilingApplication for a Low Power TV, TV Translator or TV Booster Station License**Must be filed electronically**Jun 2002349Electronic FilingApplication for Authority to Construct or Make changes in a FM Translator, or FM Booster Station**Must be filed electronically**May 2017350Electronic FilingApplication for an FM Translator or FM Translator or FM Booster Station License**Must be filed electronically**Apr 2001380Electronic FilingCall Sign Reservation and Authorization System**Must be filed electronically***Screenshots of CSRS Interface*388Electronic FilingDTV Quarterly Activity Station Report**Must be filed electronically**Jun 2009394ExcelSep 1996fillable395Common Carrier Annual Employment ReportInstructionsApr 2021395-ACable Television Annual Employment Report **This form is suspended and does not need to be filed at this time.**395-BBroadcast Station Annual Employment Report**This form is suspended and does not need to be filed at this time.**396ElectronicFilingBroadcast Equal Employment Opportunity Program Report**Must be filed electronically.**Mar 2003396-AElectronicFilingBroadcast Equal Employment Opportunity Model Program Report**Must be filed electronically.**Mar 2003396-CElectronicFilingMVPD EEO Program Annual Report**Must be filed electronically.**Sep 2003398ElectronicFilingChildren's Television Programming Report**Must be filed electronically**Mar 2006405ElectronicFilingApplication for Renewal of Radio Station License in Specified Services**Must be filed electronically**Jul 2005442ElectronicFilingApplication for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other than Broadcast)**Must be filed electronically**Mar 1996460ElectronicFilingRural Health Care Healthcare Connect Fund ProgramDescription of Eligibility and RegistrationJan 2017461ElectronicFilingRural Health Care Healthcare Connect Fund ProgramDescription of Request for ServicesJan 2017462ElectronicFilingRural Health Care Healthcare Connect Fund ProgramDescription of Request for FundingJan 2017463ElectronicFilingRural Health Care Healthcare Connect Fund ProgramDescription of Request for Funding DisbursementJan 2017465ElectronicFilingRural Health Care Telecommunications ProgramDescription of Services Requested & Certification FormJan 2017466ElectronicFilingRural Health Care Telecommunications ProgramFunding Request and Certification FormJan 2017467ElectronicFilingRural Health Care Telecommunications ProgramConnection CertificationJan 2017470471472473474479486Schools and Libraries Universal Service FormsDescription of Services Requested and Certification FormInstructionsServices Ordered and Certification FormInstructionsFCC Form 471 Block 4 Bulk InstructionsBilled Entity Applicant Reimbursement FormInstructionsService Provider Annual Certification FormInstructionsService Provider Invoice FormInstructionsCertification by Administrative Authority to Billed Entity of Compliance With the Children's Internet Protection ActReceipt of Service Confirmation FormAdjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form477ElectronicFilingLocal Telephone Competition and Broadband ReportingInstructionsForm 477 Filing Interface User GuideForm 477 ResourcesOct 2014479Schools and Libraries Universal Service Certification by Administrative Authority to Billed Entity of Compliance with the Children's Internet Protection Act and instructions480Rural Call Completion (RCC)*Form 480 Filer Resources*Mar 2015481Service Quality Improvement Reporting FCC Form 481 Data Collection Form*Instructions*Jul 2018485Formal Complaint Intake FormJun 2019486Universal Service for Schools and Libraries Receipt of Service Confirmation and Children's Internet Protection Act and Technology Plan Certification FormInstructionsAug 2014fillable492Rate of Return ReportApr 2021497Lifeline and Link UpMore information498Service Provider Information FormInstructionsJul 2019499-A**2019** Telecommunications Reporting Worksheet - Annual Filing, and instructionsMar 2019499-Q**2019** Telecommunications Reporting Worksheet and instructions -Quarterly Filing for Universal Service ContributorsMar 2019500Universal Service for Schools and Libraries Funding Commitment Adjustment Request Form and instructionsAug 2014502Electronic FilingNorth American Numbering PlanNumbering Resource Utilization/Forecast Report*This form is administered by the North American Numbering Plan Administration (NANPA)*507508509525Interstate Common Line Support507 - Interstate Common Line Support Mechanism Line Count Report508 - ICLS Projected Annual Common Line Revenue Requirement509 - ICLS Annual Common Line Actual Cost Data Collection525 - Competitive Carriers High Cost Data SubmissionFCC 555Annual Lifeline Eligible Telecommunications Carrier Certification Form and instructionsNov 2012FCC 601ElectronicFilingApplication forWireless Telecommunications BureauRadio Service AuthorizationEntire Form 601 (PDF)FCC Form 601 must be filed electronically*You may also need Forms**159**and**160*Feb 2024602ElectronicFilingPDFFCC Ownership Disclosure Information for the Wireless Telecommunications ServicesMay 2014603ElectronicFilingPDFFCC Wireless Telecommunications Bureau Application for Assignments of Authorization and Transfers of Control*You may also need Forms**159**and**160*Feb 2024FCC 605ElectronicFilingQuick-Form Application for Authorization in theShip, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio ServicesFCC Form 605 must be filed electronically*You may also need Forms**159**,**160**and**1070Y*Jun 2021606PDFInteractiveAssociate WTB Call Signs & Antenna Registration Numbers With Licensee's FRNAug 2011608PDFElectronicFilingApplication or Notification for Spectrum Leasing Arrangement or Private Commons ArrangementFeb 2024609-TElectronicFilingFCC Wireless Telecommunications BureauApplication To Report Designated Entity Eligibility Event**Must be filed electronically.**Apr 2022611-TElectronicFilingFCC Wireless Telecommunications BureauAnnual Report Related to Eligibility for Designated Entity Benefits**Must be filed electronically.**Aug 2016620ElectronicFiling**Nationwide Programmatic Agreement**New Tower ("NT") Submission Packet**While most choose to take advantage of online filing,****downloadable forms are available for use in manual filing or for reference purposes**Public NoticeMay 2014621ElectronicFiling**Nationwide Programmatic Agreement**Collocation ("CO") Submission Packet**While most choose to take advantage of online filing,****downloadable forms are available for use in manual filing or for reference purposes**Public NoticeMay 2014655ElectronicFilingHearing Aid Compatibility Status Reporting Form for Device Manufacturers**Must be filed electronically**Jun 2019690Electronic FilingAnnual Report for Mobility Fund Phase 1 Support and Record Rentention Requirements**Must be filed electronically**702ElectronicFilingApplication for Consent to Assign an Experimental Authorization*This form is only being used by the Experimental Radio Service***Must be filed electronically**Dec 2001703ElectronicFilingApplication for Consent to Transfer Control of Corporation Holding Station License*This form is only being used by the Experimental Radio Service***Must be filed electronically**2002Edition731ElectronicFilingEffective October 5, 1999, Applications for Equipment Authorization (FCC Form 731) and all required information must be filed electronically (reference 47 CFR, Section 2.913(c)). For more information regarding policies and procedures, see the Public Notice which provides detailed information regarding use of Form 731.Aug 1999740Statement Regarding the Importation of Radio Frequency Devices Capable of Causing Harmful InterferenceMar 2004766SubpoenaAug 2012806Certificate of Compliance with the Radio Provisions of the International Convention for the Safety of Life at Sea, 1974, (As Amended)Aug 2012824Communications Act Safety Radiotelephony CertificateAug 2012827Vessel Bridge-to-Bridge Radiotelephony CertificateAug 2012829Cargo Ship Safety Radio CertificateAug 2012854ElectronicFilingApplication for Antenna RegistrationMust be filed electronicallyJun 2021855ElectronicFilingHearing Aid Compatibility Status Certification Form for Service Providers**Must be filed electronically**Jun 20191068-ASupplemental Information72 - 76 MHz Operational Fixed StationsMar 20081200AcrobatExcelSetting Maximum Initial Permitted rates for Regulated Cable Services and EquipmentMay 19941205AcrobatExcelDetermining Regulated Cable Equipment and Installation Costs "Equipment Form"InstructionsJun 19961210AcrobatExcelUpdating Maximum Permitted Rates for Regulated Cable Services and EquipmentMay 19951220LotusDOS| WINExcel 4.0Computations of Cable Services Revenue Requirements and Charges - Cost of Service ShowingInstructionsMay 19941230ExcelEstablishing Maximum Permitted Rates for Regulated Cable Services on Small Cable SystemsInstructionsSep 20081235Abbreviated Cost of Service Filing for Cable Network UpgradesFeb 19961240AcrobatExcelAnnual Updating for Maximum Permitted Rates For Regulated Cable Service.InstructionsJul 19961275AcrobatExcelOpen Video System Certification of ComplianceAug 19962100ElectronicFilingApplication for Media Bureau Video Service Authorization**Must be filed electronically**InstructionsMay 20152100-GElectronic FilingSchedule G: Application for Media Bureau Audio and Video Service Authorization**Must be filed electronically**Screenshots of Electronic Filing Interface2100-HElectronic FilingSchedule H: Application for Media Bureau Audio and Video Service Authorization**Must be filed electronically**Screenshots of Electronic Filing Interface2100-301-AMElectronic FilingSchedule 301-AM: AM Station Construction Permit Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceJul 20232100-301-FMElectronic FilingSchedule 301: Commercial FM Broadcast Radio Construction Permit Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceMay 20192100-302-AMElectronic FilingSchedule 302-AM: AM Station License Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceJul 20232100-302-FMElectronic FilingSchedule 302-FM: FM Broadcast Radio License Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceNov 20222100-303-SElectronic FilingSchedule 303-S: Renewal of Broadcast Station License**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceMar 20192100-314Electronic FilingSchedule 314: Non-Pro Forma Assignment**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceFeb 20222100-315Electronic FilingSchedule 315: Non-Pro Forma Transfer of Control**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceFeb 20222100-316Electronic FilingSchedule 316: Pro Forma Assignment and Transfer**Must be filed electronically**InstructionsPro Forma Assignment flow screenshotsPro Forma Transfer flow screenshotsOct 20202100-318Electronic FilingSchedule 318: Low Power FM Station Construction Permit Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceOct 20202100-319Electronic FilingSchedule 319: Low Power FM Station License Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceNov 20222100-335-AMElectronic FilingSchedule 335-AM: AM Digital Notification**Must be filed electronically**Screenshots of Electronic Filing InterfaceDec 20232100-335-FMElectronic FilingSchedule 335-FM: FM Digital Notification**Must be filed electronically**Screenshots of Electronic Filing InterfaceDec 20232100-340Electronic FilingSchedule 340: Noncommercial Educational FM Station Construction Permit Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceOct 20202100-345Electronic FilingSchedule 345: FX, TX, LPTV (Non-Pro forma) Assignment and Transfer**Must be filed electronically**InstructionsNon Pro Forma Translator-LPTV Assignment ScreenshotsNon Pro Forma Translator-LPTV Transfer ScreenshotsOct 20202100-349Electronic FilingSchedule 349: FM Translator or FM Booster Station Construction Permit Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceMay 20192100-350Electronic FilingSchedule 350 – FM Translator or FM Booster Station License Application**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceMay 20192100-381Electronic FilingSchedule 381: Certification of TV Broadcast Licensee Technical Information in Advance of Incentive Auction**Must be filed electronically**Instructions2100-387Electronic FilingSchedule 387: Transition Progress Report**Must be filed electronically**Instructions2100-396Electronic FilingSchedule 396: Broadcast Equal Employment Opportunity Program Report**Must be filed electronically**InstructionsScreenshots of Electronic Filing InterfaceFeb 20192100-399Electronic FilingSchedule 399: TV Broadcaster Relocation Fund Reimbursement**Must be filed electronically**5625doc | pdfFCC Form 5625 Main Form; Connect America Phase II New York Long-Form ApplicationInstructionsFeb 2018562956305631Interstate Common Line Support5629 - Lifeline Program Application Form5630 - Lifeline Program Annual Recertification Forms5631 - Lifeline Program Household Worksheet5640Supply Chain Reimbursement FormInfo Template 1.50004 (c), (g), (h)(2), (k), (l), (m)20215641Report on Covered Communications Equipment or ServicesInfo Template 1.500072021Expired or Replaced Forms | Obsolete Versions by WTB | Current FCC Forms**Form No.****Form Name****Edition Date**Election StatementBroadcast and Cable Initial Election StatementApr 2000162CORES Certification FormFeb 2000201Emergency Alert System EAS Activation ReportJul 1998302-TVApplication for TV Broadcast Station LicenseJun 2009313*Form 313 was replaced by Form 601*313-R*Form 313 R was replaced by Form 601*349-SuppPoint Supplement to Pending FCC 349 Filed Prior to Point System (Noncommercial Educational FM Translator Station)Mar 2001385Electronic FilingThis form is required of second round DTV channel electors to advise as to resolution of the identified interference conflict**Must be filed electronically**Oct 2004386Electronic FilingDigital Channel Election Form: Third Round**Must be filed electronically**Oct 2004387Electronic FilingDTV Transition Status Report**Must be filed electronically**Feb 2009393Determination of Maximum Initial Permitted Rates for Regulated Cable Programming Services and EquipmentInstructionsAug 1993397Broadcast Mid-Term ReportSep 2002445CALEA Monitoring Report for Broadband and VoIP ServicesDec 2006475BComplaint form for filing a complaint about programming you believe was obscene, indecent and/or profaneMay 2008478Slamming Complaint Reporting Worksheet499-ATelecommunications Reporting Worksheet - Annual Filing1998 | 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006 | 2007 | 2008 | 2009501Slamming Complaint FormMay 2008506*Form 506 was replaced by Form 605*550Low Income Broadband Pilot Program Reimbursement FormAug 2014560Low Income Broadband Pilot Program Reporting FormAug 2014753*Form 753 was replaced by Form 605*755*Form 755 was replaced by Form 605*756*Form 756 was replaced by Form 605*1070YNotice of Fee Due1070Y - *Requirements for form 605*Sep 20181088Junk Faxes & Telemarketing ComplaintsMay 20081215A La Carte Channel OfferingsInstructionsMay 19941225Computation of Cable Services Revenue Requirements and Cost of Service (Small Systems)InstructionsMay 19942000File a ComplaintMay 20085072Changes in Official Mailing Address for Broadcast StationInstructionsFeb 19955610Electronic FilingApplication to Participate In Rural Broadband Experiments**Must be filed electronically**5620Post-Selection Review of Rural Broadband Experiment Winning BiddersInstructions
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