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FCC
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FCC Forms If you need assistance completing a form or filing information, contact the Consumer Information Bureau at 1-888-CALL-FCC. If you know the form you need, but do not see it listed please call our Forms Distribution Center at 1-800-418-3676 to order the form. Display the current listing of forms and filings requiring a CORES registration number. 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.
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| Form No. | Form Name | Edition Date | |
 ElectionStatement |
Broadcast and Cable Initial Election Statement | Apr 00 | |
| Class A |
Statement of Eligibility for Class A Low Power Television Station Status | Jan 00 | |
| 159 | Remittance Advice (Revised to accommodate FRN and can be used for payments) |
revised Feb 03 |
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| 159-W | Interstate Telephone Service Provider Worksheet | Aug 03 | |
| 160 | CORES Registration Form | Feb 00 | |
| 161 | CORES Update/Change Forms | Feb 00 | |
| 162 | CORES Certification Form | Feb 00 | |
| 175 |
Application to Participate in an FCC Auction form and instructions> Must be filed electronically |
Oct 00 | |
| 201 | Emergency Alert System EAS Activation Report | July 98 | |
| 301 | Application for Construction Permit for Commercial Broadcast Station forms, worksheets & instructions (basic form 301 to be completed by all applicants) Must be filed electronically |
Sep 04 | |
| 301-CA |
Application for Authority to Make Changes
in a Class A Television Broadcast Station Must be filed electronically |
Jun 02 | |
| 302-AM |
Application for AM Broadcast Station License Form Instructions | Download Instructions |
Aug 95 | |
| 302-CA |
Application for Class A Television Broadcast Station Construction Permit or License | Jun 02 | |
| 302-FM |
Application for FM Broadcast Station License Must be filed electronically |
Jun 02 | |
| 302-TV |
Application for TV Broadcast Station License Must be filed electronically |
Jun 02 | |
| 302-DTV |
Application for Digital Television Broadcast Station License Must be filed electronically |
Jun 02 | |
| 303-S |
Application for Renewal License for AM, FM, TV, Translator, or LPTV Station Must be filed electronically |
Jul 04 | |
| 304 | Application for Multipoint Distribution Service Authorization | Dec 02 | |
| 304-A | Certification of Completion of Construction for a Multipoint Distribution Service | Dec 02 | |
| 305 | Application for Assignment of a Multipoint Distribution Service Authorization | Jan 03 | |
| 306 | Application for Transfer of Control of a Multipoint Distribution Service Authorization | Jan 03 | |
| 312 |
Application for Satellite Space and Earth Station Authorizations Download Instructions |
Feb 98 | |
| 313 | Form 313 was replaced by Form 601 | ||
| 313-R | Form 313 R was replaced by Form 601 | ||
| 314 |
Application for Consent to Assignment of Broadcast Station Construction Permit or License instructions, worksheets & forms Must be filed electronically |
Sep 04 | |
| 315 |
Application for Consent to Transfer Control of Corporation Holding Broadcast Station Construction Permit or License instructions, worksheets & forms Must be filed electronically |
Sep 04 | |
| 316 |
Application 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 |
Jun 02 | |
| 317 | Annual DTV Ancillary/Supplemental Services Report for Commercial Digital Television Stations instructions & forms Public Notice |
Nov 03 | |
| 318 |
Application for Construction Permit for a Low Power FM Broadcast Station Must be filed electronically |
Mar 00 | |
| 319 |
Application for a Low Power FM Broadcast Station License | Aug 00 | |
| 320 PDF | Word |
Basic Signal Leakage Performance Report for Media Bureau Public Notice on Distribution of Form 320
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Jan 00 | |
| 321 |
Aeronautical Frequency Notification |
Dec 03 | |
| 322 |
Cable Community Registration |
Dec 03 | |
| 323 |
Ownership Report for Commerical Broadcast Station Must be filed electronically |
Jun 02 | |
| 323-E |
Ownership Report for Noncommercial Educational Broadcast Station Must be filed electronically |
Jun 02 | |
| 324 |
Cable Operator, Mail Address, And Operational Status Changes |
Dec 03 | |
| 327 | Application for Cable Television Relay Service Station Authorization | Sep 04 | |
| 328 | Certification of Franchising Authority to Regulate Basic Cable Service Rates and Initial Findings of Lack of Effective Competition | Dec 02 | |
| 330 | Application for Authorization to Construct New or Make Changes in an Instructional Fixed and/or ResponseStation(s). | Jan 03 | |
| 330A | Certification of Completion of Construction for an Instructional Television Fixed Service | Feb 03 | |
| 330-R | Application for Renewal of Instructional Television Fixed Station and/or Response Station(s) and Low Power Relay Station(s) License | Aug 03 | |
| 331 | Application for Multipoint Distribution Service or Instructional Television Fixed Service Modification to Main Station, Booster Station, Response Station Hub or 125 kHz (I Channel) Station | Apr 04 | |
| 337 |
Application for Extension of Time to Construct a Digital Television Broadcast Station Must be filed electronically |
Jan 02 | |
| 340 |
Application for Construction Permit for Reserved Channel Noncommercial Educational Broadcast Station (application, instructions, and worksheet) | Mar 01 | |
| 340-Supp | Point Supplement to Pending FCC 340 Filed Prior to Point System (Noncommercial Educational Broadcast Station) | Mar 01 | |
| 345 | Application 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 Station | May 02 | |
| 346 |
Application for Authority to Construct or Make Changes in a Low Power TV, TV Translator, or TV Booster Station Must be filed electronically |
Jun 02 | |
| 347 |
Application for a Low Power TV, TV Translator or TV Booster Station License Must be filed electronically |
Jun 02 | |
| 349 |
Application for Authority to Construct or Make changes in a FM Translator, or FM Booster Station Must be filed electronically |
Mar 01 | |
| 349-Supp | Point Supplement to Pending FCC 349 Filed Prior to Point System (Noncommercial Educational FM Translator Station) | Mar 01 | |
| 350 |
Application for an FM Translator or FM Translator or FM Booster Station License Must be filed electronically |
Apr 01 | |
| 393 Lotus DOS| WIN Excel 4.0 |
Determination of Maximum Initial Permitted Rates for Regulated Cable Programming Services and Equipment Instructions |
Aug 93 | |
| 394 Excel 4.0 |
Application for Franchise Authority Conset to Assignment or Transfer of Control of Cable Television Franchise Instructions WP 5.1 & text formats also provided with form |
Sept 96 | |
| 395 |
Common Carrier Annual Employment Report | Feb 03 | |
| 395-A | Cable Television Annual Employment Report 2000 | Apr 00 | |
| 395-B | Broadcast Station Annual Employment Report | Apr 00 | |
| 396 | Broadcast Equal Employment Opportunity Program Report | Mar 03 | |
| 396-A | Broadcast Equal Employment Opportunity Model Program Report | Mar 03 | |
| 396-C | MVPD EEO Program Annual Report | Sept 03 | |
| 397 | Broadcast Statement of Compliance | Apr 00 | |
| 398 Electronic Filing |
Children's Telvision Programing Report Click here for information about electronic preparation and submission of this form. |
Nov 01 | |
| 405 | Application for Renewal of Radio Station License in Specified Services | Feb 04 | |
| 409 | Form 409 is not obtainable from the Distribution Center. You must print from this site or call the Right Fax service (202) 418-0177 to receive a faxed copy | Aug 03 | |
| 430 | License Qualification Report for Multipoint Distribution Service | Dec 03 | |
| 442 | Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules - Experimental Radio Service (Other than Broadcast) Download Instructions |
Mar 96 | |
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465 466 466-A 467 468 |
Health Care Providers Universal Service Forms 465, Description of Services Requested and Certification Form 466, Funding Request and Certification Form 466-A, Internet Toll Charge Discount Request 467, Connection Certification 468, Telecommunications Carrier Form |
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470 471 472 473 474 479 486 498 500 |
Schools and Libraries Universal Service Forms 470, Description of Services Requested and Certification Form 471, Services Ordered and Certification Form 472, Billed Entity Applicant Reimbursement Form 473, Service Provider Annual Certification Form 474, Service Provider Invoice Form 479, Certification by Administrative Authority to Billed Entity of Compliance With the Children's Internet Protection Act 486, Receipt of Service Confirmation Form 498, Service Provider Information Form 500, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form |
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| 475 Electronic Filing |
Complaint Form for General Telephone-Related Issues For general telephone complaints including billing disputes, cramming, taxes on phone bill, telephone company advertising practices, telephone information services, unsolicited telephone marketing calls and faxes, and accessibility by persons with disabilities to telecommunications equipment and services. Privacy information for Form 475. | May 01 | |
| 477 Excel Lotus |
Local Competition and Broadband Reporting Instructions Excel format: preferred; contains pop-up menus and other useful features Lotus format: to be used only if filer cannot use the Excel97 version |
for filing due 9/1/04 |
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| 478 Excel |
Telecommunications Slamming Complaint Reporting Form instructions Excel format: to be used by carriers filing electronically |
Jan 03 | |
| 485 | Formal Complaint Intake Form | Jul 99 | |
| 492 | Rate of Return Report | Sept 01 | |
| 492A | Price Cap Regulation Rate of Return Monitoring Report | Sept 01 | |
| 499-A (2004) |
Telecommunications Reporting Worksheet - Annual Filing form & instructions 2004 The current version of this form was revised and reposted at 10:15 am (EST) on 3/26/04 in order to correct glitches with the fillable feature. Please download and use this new version to replace any previous versions that you downloaded prior to this time. All carriers must file by April 1 |
Mar 04 | |
| 499-A (2003) |
Telecommunications Reporting Worksheet - Annual Filing form & instructions 2003 All carriers must file by April 1 |
Feb 03 | |
| 499-A (2002) |
Telecommunications Reporting Worksheet - Annual Filing form & instructions 2002 All carriers must file by April 1 Public Notices: March 4, 2002 | January 30, 2002 | October 29, 2001 |
Feb 02 | |
| 499-Q |
Telecommunications Reporting Worksheet - Quarterly Filing for Universal Service Contributors forms & instructions 2003 |
April 03 | |
| 499-Q (2002) |
Telecommunications Reporting Worksheet - Quarterly Filing for Universal Service Contributors forms & instructions 2002 |
Mar 02 | |
| 502 Excel |
North American Numbering Plan Numbering Resource Utilization/Forecast Report Geographic Numbers | Non-Geographic Numbers Job Aid |
Jun 03 | |
| 506 | Form 506 was replaced by Form 605 | ||
| FCC 601
Electronic Filing |
Application for Wireless Telecommunications Bureau Radio Service Authorization |
May 04 | |
| 602 DOC |
FCC Ownership Disclosure Information for the Wireless Telecommunications Services | Aug 02 | |
| 603 Electronic Filing DOC |
FCC Wireless Telecommunications Bureau Application for Assignments of Authorization and Transfers of Control You may also need Forms 159 and 160 |
Apr 02 | |
| 603-T* |
FCC Wireless Telecommunications Bureau Application or Notification for Spectrum Leasing Arrangement *Requires version 6 of the free Acrobat Reader
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Feb 04 | |
| FCC 605
Electronic Filing
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Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services | Apr 04 | |
| 606 Interactive |
Associate WTB Call Signs & Antenna Registration Numbers With Licensee's FRN | Aug 02 | |
| 701 | Application for Additional Time to Construct a Radio Station (Under 47 CFR Parts 21, 23 and 25) | Oct 02 | |
| 702 | Application for Consent to Assign an Experimental Authorization This form is only being used by the Experimental Radio Service |
Dec 01 | |
| 703 | Application for Consent to Transfer Control of Corporation Holding Station License This form is only being used by the Experimental Radio Service |
2002 Edition |
|
| 731 Electronic Filing |
Effective 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 99 | |
| 740 | Statement Regarding the Importation of Radio Frequency Devices Capable of Causing Harmful Interference | Mar 04 | |
| 753 | Form 753 was replaced by Form 605 | ||
| 755 | Form 755 was replaced by Form 605 | ||
| 756 | Form 756 was replaced by Form 605 | ||
| 806 | Certificate of Compliance with the Radio Provisions of the International Convention for the Safety of Life at Sea, 1974, (As Amended) | Jan 99 | |
| 824 | Communications Act Safety Radiotelephony Certificate | Jan 99 | |
| 827 | Vessel Bridge-to-Bridge Radiotelephony Certificate | Jan 99 | |
| 829 | Cargo Ship Safety Radio Certificate | Jan 99 | |
| 854 Electronic Filing |
Application for Antenna Registration Electronic Filing now available! |
Oct 02 | |
| 1068-A | Supplemental Information 72 - 76 MHz Operational Fixed Stations |
Mar 04 | |
| 1070 -- 2004 Editions |
Notice of Fee Due for Several FCC Forms
|
July 04 | |
| 1200 Lotus DOS| WIN Excel 4.0 |
Setting Maximum Initial Permitted rates for Regulated Cable Services and Equipment Instructions |
May 94 | |
| 1205 Lotus 3.1| 4.0 Excel 4.0 |
Instructions For Determining Costs of Regulated Cable Equipment and Installation. Instructions |
Jun 96 | |
| 1210 Lotus DOS| WIN Excel 4.0 |
Updating Maximum Permitted Rates for Regulated Cable Services and Equipment Instructions |
May 95 | |
| 1215 WP5.1 ASCII |
A La Carte Channel Offerings Instructions |
May 94 | |
| 1220 Lotus DOS| WIN Excel 4.0 |
Computations of Cable Services Revenue Requirements and Charges - Cost of Service Showing Instructions |
May 94 | |
| 1225 Lotus DOS| WIN Excel 4.0 |
Computatuon of Cable Services Revenue Requirements and Cost of Service (Small Systems) Instructions |
May 94 | |
| 1230 Lotus DOS| WIN Excel 4.0 |
Establishing Maximum Permitted Rates for Regulated Cable Services on Small Cable Systems Instructions |
Aug 95 | |
| 1240 Lotus 3.1| 4.0 Excel 4.0| 5.0 |
Annual Updating for Maximum Permitted Rates For Regulated Cable Service. Instructions |
July 96 | |
| 1275 Excel 4.0 |
Open Video System Certification of Compliance Instructions |
Aug 96 | |
| 5072 WP5.1 ASCII |
Changes in Official Mailing Address for Broadcast Station Instructions |
Feb 95 |
| last reviewed/updated on 10/7/04 |
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