PUBLIC NOTICE
Federal Communications Commission
445 12th St., S.W.
Washington, D.C. 20554
News Media Information 202 / 418-0500
Internet: http://www.fcc.gov
TTY: 1-888-835-5322
DA 07-3105
Release Date: July 11, 2007
RELEASE OF REVISED FCC FORMS 472, 473, 474, 479, 486 and 500
UNDER THE SCHOOLS AND LIBRARIES UNIVERSAL SERVICE SUPPORT MECHANISM
(E-Rate Program)
The Wireline Competition Bureau announces the availability of revised FCC Forms 472, 473,
474, 479, 486 and 500.  The revised forms, which have been approved by the Office of Management and 
Budget, are currently available for use, and are posted on the web site of the Universal Service 
Administrative Company (USAC) under “Required Forms” at www.usac.org.
All six forms have been updated with notices on the Privacy Act and the Paperwork Reduction 
Act, and dated with a new issue date of April 2007.  In addition, the forms have the following changes: 
Form 472, the Billed Entity Applicant Reimbursement (BEAR) Form, has been changed at Block 
4A to reflect the current requirement that service providers have 20 business days, not 10 as in the 
previous form, to remit payments to applicants.1  The revised form replaces a version dated October 1998.
Form 473, the Service Provider Annual Certification (SPAC) Form, contains certifications that 
the service provider has complied with the competitive bidding requirements of the E-Rate Program.2 In 
addition, the revised Form 473 contains information about a single Service Provider Identification 
Number (SPIN), rather than, as in the previous form, multiple SPINs.  The revised form replaces a 
version dated October 1998. 
Form 474, the Service Provider Invoice (SPI) Form, replaces a version dated October 2001.
Form 479, the Certification by Administrative Authority to Billed Entity of Compliance with 
Children’s Internet Protection Act, contains a change in the estimated response time from 1.5 hours to 1.0 
hour, to reflect actual program practice.  The revised form replaces a version dated August 2003.
  
1 See In the Matter of Schools and Libraries Universal Service Support Mechanism, CC Docket 02-6, Second Report 
and Order and Further Notice of Proposed Rulemaking, 18 FCC Rcd 12294 (2003); 47 C.F.R. § 54.514(b).
2 See In the Matter of Schools and Libraries Universal Service Support Mechanism, CC Docket 02-6, Fifth Report 
and Order and Order, 19 FCC Rcd 15808 (2004); 47 C.F.R. § 54.504(h).
2
Form 486, the Receipt of Service Confirmation Form, contains a certification that the applicant’s 
technology plan was approved before the receipt of services.3  The revised form replaces a version dated 
August 2003.
Form 500, the Adjustment to Funding Commitment and Modification to Receipt of Service 
Confirmation Form, replaces a version dated April 2000.
For further information, please contact Anita Cheng, Telecommunications Access Policy 
Division, Wireline Competition Bureau, at (202) 418-7400, anita.cheng@fcc.gov, or TTY (202) 418-
0484; or Timm Harwick, Universal Service Administrative Company, at (202) 776-0200, or 
tharwick@usac.org .
- FCC -
  
3 See In the Matter of Schools and Libraries Universal Service Support Mechanism, CC Docket 02-6, Fifth Report 
and Order and Order, 19 FCC Rcd 15808 (2004); 47 C.F.R. § 54.508(c).