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DPS Application Forms pertinent to Bill S.177

Forms Available on our Web Site

Note: Requirement for filing Annual Reports is on or before March 31

• Annual Report Forms and 5-Year Book
• F-96 Document Request Form
• Certification Process & Report Filing Requirements
• Certificate of Public Convenience and Necessity
• Detariffing Non-Basic Services Notice - Form
• Filing a Complaint with the Public Service Commission
• HEFPA Compliance Documents
  • Asset Evaluation Form
  • Budget Billing Plan
  • Checklist
  • Deferred Payment Agreement
  • Final Suspension Notice
  • Final Termination Notice
  • Notification to Social Services
  • Past Due Reminder Notice
  • Quarterly Billing Plan
• New York State Statement of Gross Intrastate Operating Revenues
• Notice of Appearance Forms
• Retail Access Application Form
• Request to Examine Maps or Diagrams
• Telecommunications Company Critical Information Form (TCCI)
• Utility Applications, Forms and Statistics
• Verizon Protections from cramming and for Senior Citizens Form

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