FIXED BROADBAND CONSUMER DISCLOSURE
INSTRUCTIONS
NOTE: service may not be available to all locations
Price/Commercial Terms
Month-to-month [identify length of available long-
term contracts – provide one 
column for each available option]
Monthly charge – standalone [provide non-
promotional price of 
stand-alone 
broadband service 
on a month-to-
month basis]
[provide price of stand-alone 
broadband service available 
under each long-term contract
option
Additional pricing options and promotions, including bundles, can be found here
[provide a link to additional broadband offerings, including promotional offers and plans that 
bundle broadband with other services]
Other Charges & Terms
Monthly Data Allowance [if applicable, identify the monthly data allowance associated with this plan]
      Overage charges [if applicable, identify additional charges or other outcomes if the monthly 
data allowance is exceeded]
Equipment Fees [provide a link to the company’s policy with respect to customers using their 
own equipment and a list of permitted equipment]
      Optional [identify the monthly rental fee for any equipment available for rent]
Other monthly fees [identify any monthly fees that the company chooses to impose in 
connection with the purchase of broadband service, e.g., regulatory 
recovery fees]
Government taxes and other government-related fees may apply
[provide this disclaimer using this language to notify consumers that additional taxes and fees 
mandated by, or attributable to, government programs will be imposed – specific taxes and fees need 
not be identified]
One-time fees [identify any one-time fees that the company chooses to impose in 
connection with the purchase of broadband service, e.g., installation fees]
[if applicable, include a statement that a deposit may be required based on 
credit history or other factors]
Early termination fee 
(ETF)
[if applicable, identify any fees that will be imposed if the customer cancels 
broadband service before the end of a long-term contract and provide a link 
to a full explanation of when such fees would be triggered]
(or cancel/disconnect fee)
Performance
Average Speed* [identify average peak period download and upload speeds for this tier of 
service based on results from the Measuring Broadband America program, 
internal testing, or any other measurement of past performance for this tier 
that is consistent with FCC guidance]
Average Latency* [identify average peak period latency for this tier of service based on results 
from the Measuring Broadband America program, internal testing, or any 
other measurement of past performance that is consistent with FCC 
FIXED BROADBAND CONSUMER DISCLOSURE
INSTRUCTIONS
NOTE: service may not be available to all locations
guidance]
Average Packet Loss* [identify average peak period packet loss for this tier of service based on 
results from the Measuring Broadband America program, internal testing,
or any other measurement of past performance that is consistent with FCC 
guidance]
* Individual experience may vary, see link for more details.
[provide a link to a full discussion of network performance metrics]
Other services on 
network
[if applicable, provide a statement identifying any non-BIAS services offered by 
the company that might cause the customer to experience reduced 
performance of their broadband service and provide a link to a full explanation 
of when such a situation would occur and details regarding the anticipated 
effect on broadband performance]
Network Management
Application-specific 
network management 
practices?
[answer yes or no; if yes, provide a link to a full discussion that identifies 
application-specific network management practices, when such practices 
are triggered, and the effect such practices could have on performance]
Subscriber-triggered 
network management 
practices?
[answer yes or no; if yes, provide a link to a full discussion that identifies 
subscriber-triggered network management practices, when such practices 
are triggered, and the effect such practices could have on performance]
see detailed disclosure of Network Practices
[provide a link to the company’s full disclosure of network management 
practices]
Privacy [provide a link to the company’s privacy policy for broadband services]
Complaints/inquiries [provide a phone number for the company’s customer service center and 
link to the primary customer service web page]
[provide the phone number and a link for the FCC’s complaint center]
Link to FCC site explaining terms used and the Open Internet Order items relevant to consumers
[provide a link to a page on the FCC web site [TBD] that will provide a glossary of terms and other 
relevant information regarding the Open Internet Order]