DIRECTIONS for COMPLETING 2018 Annual Federal Universal Service Fund Charge/Fee Waiver

DIRECTIONS FOR COMPLETING 2018 Annual Federal Universal Service Fund Charge/Fee Waiver Certification ATTACHMENT(s) A and B

PLEASE READ BEFORE COMPLETING YOUR CERTIFICATION: Before you begin completing your Certification, please decide whether you will submit your Certification and all supporting materials by e-mail using the Excel workbook template available from AT&T, or whether you will submit your Certification and all supporting materials via fax or hard copy. The format for e-mail submission is substantially different from the format for fax or hard copy submission. E-mail submission is strongly encouraged, particularly if you have multiple Filer IDs.

GENERAL DIRECTIONS:

A. If you will submit using e-mail:

1. Download the correct Excel workbook template from AT&T. A template for e-mail submission of your 2018 Annual FUSF Charge/Fee Waiver Certification (“2018 FUSF Certification”) and an Excel workbook template for Attachment A and Attachment B is available on the following AT&T websites: AT&T Prime Access [https://primeaccess.att.com/] and AT&T CLEC OnLine [https://clec.att.com/clec/]. Note: the workbook template for e-mail submission of your 2018 FUSF Certification and supporting materials contains only five (5) tabs. Customers with multiple Filer IDs may submit one 2018 Certification via e-mail for all Filer IDs, but must use a separate 2018 Certification for each Filer ID if submitted by fax or hard copy.

2. Complete all applicable portions of the five tab Excel workbook template. If you list “Exempt Services”, submit one, single Attachment A that includes all your purchases from any of the AT&T companies from which you purchase services. If you list purchases that are NOT Exempt Services, submit one single Attachment B that includes all of your purchases from any of the AT&T companies that will accept Attachment B, plus one single Attachment A that includes all of your purchases from any AT&T company that does NOT accept Attachment B. You must use one of the following file names to save your workbook:

a. If you checked box 3(a) on your 2018 FUSF Certification, please name your Excel file “2018 FUSF – ATT A - ______”, where the blank is for your CUSTOMER name.

b. If you checked box 3(b) on your 2018 FUSF Certification, please name your Excel file “2018 FUSF – ATT B - ______”, where the blank is for your CUSTOMER name.

c. If you checked box 3(c) on your 2018 FUSF Certification, please name your Excel file “2018 FUSF – ATT A AND B - ______, where the blank is for your CUSTOMER name.

3. Print and Scan. After completing the 2018 Excel workbook FUSF Certification and all supporting materials:

- print only your completed 2018 FUSF Waiver/Certification tab,

- sign and date your printed 2018 FUSF Waiver/Certification pages using BLACK INK,

- scan the completed and signed 2018 FUSF Waiver/Certification,

- save the scan as a .pdf file named “2018 FUSF Certification - ______”, where the blank is for your CUSTOMER name.

4. E-mail. Attach both the entire 2018 FUSF Waiver/Certification Excel Workbook file you created in step number 2, above, and the signed and scanned 2018 FUSF Waiver/Certification .pdf file you created in step number 3, above, to an e-mail with your CUSTOMER name in the “subject” field. Send this e-mail to .

NOTES: Before e-mailing, check that you saved your Excel Workbook with the appropriate name specified in step 2, above, and your .pdf file with the name specified in step 3, above. Be sure you have included your CUSTOMER name in the “subject” field of your e-mail. If any required supporting material(s) are missing from your e-mail submission, AT&T will reject your e-mail submission and require you to complete any missing portion(s) then re-submit your 2018 FUSF Certification and all supporting materials in a single e-mail.

B. If you will submit by fax or hard copy:

1. Complete paper copies of the 2018 Annual Federal Universal Service Fund Charge/Fee Waiver Certification and all necessary attachments. Use the specific instructions supplied throughout these Directions. When completing all forms, please type all forms; please sign all forms using BLACK INK ONLY. Templates for fax or hard copy submission of your 2018 FUSF Certification, Attachment A and Attachment B or a combined Excel workbook containing Attachments A and Attachments B are available on the following AT&T websites: AT&T Prime Access [https://primeaccess.att.com/] and AT&T CLEC OnLine [https://clec.att.com/clec/]. Note: the Excel workbook template for the combined fax or hard copy submission of the Attachment(s) to your 2018 FUSF Certification contains twenty-seven (27) tabs.

2. Sign and date your 2018 FUSF Certification and each Attachment A and Attachment B.

3. Submit all materials using the instructions on page 15 of these Directions.

SPECIFIC INSTRUCTIONS FOR COMPLETING FORMS:

REGARDLESS OF SUBMISSION METHOD:

IMPORTANT: ATTACHMENT B MAY ONLY BE USED FOR CERTAIN PURCHASES. IF ATTACHMENT B IS NOT EXPLICITLY STATED AS ACCEPTED IN THE APPROPRIATE “PURCHASES FROM” HEADING BELOW, THEN YOU MAY ONLY USE ATTACHMENT A TO CERTIFY YOUR PURCHASES FROM THAT AT&T COMPANY.

NOTE: Any of the services purchased by you and used for your own internal use or that of an Affiliate (where permitted by the terms of the agreement with AT&T) or for information services only, are NOT Exempt Services (that is, they are subject to the FUSF FEE) and the related billing account number(s), circuit identification information and/or telephone number(s) should be excluded from Attachment A or provided on Attachment B (if accepted by the AT&T company from which you purchase the particular service).

If you are a PRM Reseller, please include your Partner Code, which consists of three to five alpha characters (found on your invoice next to the Invoice Reference Number) on all Attachment(s) you submit.

Purchases from FCC Tariffs or AT&T Interstate Access Guidebook – Attachment A

or Attachment B:

E-mail submission:

Combine ALL purchases you certify are Exempt Services on ONE Excel Attachment A,

and all purchases that are NOT Exempt Services on ONE Excel Attachment B. Do NOT

submit more than ONE Excel Attachment A and ONE Excel Attachment B for all your purchases

from any of the AT&T companies mentioned in these Directions.

Please include ALL Access Carrier Name Abbreviations [ACNA(s), three characters, usually alpha] associated with your purchases. Note that certain usage sensitive purchases are billed using Operating Company Number(s) (OCNs) / Alternate Exchange Carrier Number(s) (AECNs) [OCN / AECN identifiers are four digits, usually numeric], so please include ALL OCN(s) and AECN(s) associated with your purchases.

Refer to the chart on page 4.

Fax / paper submission:

Please submit a separate Attachment A or Attachment B for services purchased from EACH of

the six FCC Tariffs/Interstate Access Guidebook Parts listed in this section of these Directions.

Example: If you are claiming exemption for services purchased from the BellSouth FCC No. 1 and the Ameritech FCC No. 2, you must provide an Attachment A or B for the services purchased from BellSouth’s FCC No. 1 and a separate Attachment A or B for the services purchased from Ameritech’s FCC No. 2.

If you are claiming exemption(s) for services purchased from all six (6) of the following FCC tariffs/Interstate Access Guidebook Parts, you must submit a total of six (6) Attachments A or Attachment(s) B.

Refer to the chart on page 4.

AT&T FCC Tariff/Interstate Access Guidebook / Operating Territory / Example of Billing
Account Number
(X = any number)
BellSouth Telecommunications, Inc. F.C.C. No. 1 and/or Interstate Access Guidebook Part 11 / Alabama
Florida
Georgia
Kentucky
Louisiana
Mississippi
N. Carolina
S. Carolina
Tennessee / (Area Code) NXX-XXXX
Note: character 4 is an alpha
Ex. A Georgia account number might be
404 N33-0000
(CABS bill)
Pacific Bell Telephone Company
F.C.C. No. 1 and/or Interstate Access Guidebook Part 7 / California / 072 XXX-XXXX
073 XXX-XXXX
(CABS bill)
Nevada Bell Telephone Company
F.C.C. No. 1 and/or Interstate Access Guidebook Part 8 / Nevada / 071 XXX-XXXX
(CABS bill)
Ameritech Operating Companies
F.C.C. No. 2 and/or Interstate Access Guidebook Part 6 / Illinois
Indiana
Michigan
Ohio
Wisconsin / 217 XXX-XXXX
219 XXX-XXXX
313 XXX-XXXX
216 XXX-XXXX
414 XXX-XXXX
Note: character 4 is an alpha.
Ex. An Illinois account number
might be 217 S01-1111
(CABS bill)
Southwestern Bell Telephone Company
F.C.C. No. 73 and/or Interstate Access Guidebook part 9 / Arkansas
Kansas
Missouri
Oklahoma
Texas / 310 XXX-XXXX
210 XXX-XXXX
110 XXX-XXXX
120 XXX-XXXX
410 XXX-XXXX
510 XXX-XXXX
610 XXX-XXXX
710 XXX-XXXX
EX: A Texas account number might be 610 002-4321
(CABS bill)
AT&T Operating Company F.C.C. No. 1 and/or Interstate Access Guidebook part 5, section 5 / Arkansas
California
Illinois
Indiana
Kansas
Michigan
Missouri
Nevada
Ohio
Oklahoma
Texas
Wisconsin / XX.ABCD.XXXXXX (Circuit ID)

Purchases from Interconnection Agreement(s), Applicable State Tariff(s), Price List(s) or Guidebook(s) – Attachment A or Attachment B:

REGARDLESS OF SUBMISSION METHOD:

If you are a Payphone Service Provider and have not been granted de minimus status under the FCC’s Instructions, you may ONLY certify your purchases using Attachment A. Payphone Service Providers do not need to list ANIs or TNs for their purchase of any service categorized with a payphone class of service, but should enter “payphone” on the appropriate line in the far right column of Attachment A. If a Payphone Service Provider also purchases any service not categorized with a payphone class of service (for example, a T-1), you must certify any such service you claim is exempt by providing all information required on your Attachment A for such service.

E-mail submission:

Combine ALL purchases you certify are Exempt Services on ONE Excel Attachment A, and all purchases that are NOT Exempt Services on ONE Excel Attachment B. Do NOT submit more than ONE Excel Attachment A and ONE Excel Attachment B for all your purchases from any of the AT&T companies mentioned in these Directions.

Please include ALL Operating Company Number(s) (OCNs)/ Alternate Exchange Carrier Number(s) (AECNs) [OCN/ AECN identifiers are four digits, usually numeric] and/or Partner Code(s) associated with your purchases.

Refer to the chart on page 6.

Fax / paper submission:

Your purchases from Interconnection Agreement(s), applicable state tariffs, price list(s) or guidebook(s) that involve FUSF assessable interstate charges (see chart on page 6 for additional details) resulting from:

- Purchases from EACH of the companies listed in this sub-paragraph must

be reported on a separate Attachment A OR Attachment B for EACH of: AT&T Illinois;

AT&T Indiana; AT&T Michigan; AT&T Ohio; AT&T Wisconsin; AT&T Nevada; and

AT&T California.

- Purchases from AT&T Arkansas, AT&T Kansas, AT&T Missouri, AT&T

Oklahoma and AT&T Texas may be grouped on one Attachment A OR

Attachment B.

- Purchases from AT&T Alabama, AT&T Florida, AT&T Georgia, AT&T

Kentucky, AT&T Louisiana, AT&T Mississippi, AT&T North Carolina,

AT&T South Carolina and AT&T Tennessee may be grouped on one

Attachment A OR Attachment B.

AT&T service area / FUSF Assessable
Charges
(Interstate per FCC) / Example of Billing Account Number
(X = any number)
AT&T Illinois / EUCL Consumer
EUCL Single-Line Business
EUCL Multi-line Business
EUCL Payphone
EUCL ISDN BRI
EUCL ISDN PRI
EUCL DTS
PICC – Manual/Mechanized / (040) LXX-XXXX XXX
AT&T Indiana / (040) LXX-XXXX XXX
AT&T Michigan / (040) LXX-XXXX XXX
AT&T Ohio / (040) LXX-XXXX XXX
AT&T Wisconsin / (040) LXX-XXXX XXX
AT&T Nevada / EUCL Consumer
EUCL Single-Line Business
EUCL Multi-line Business
EUCL Payphone
EUCL ISDN BRI
EUCL ISDN PRI
PICC – Manual/Mechanized / 123-3XX-XXXX
AT&T California / 023-7XX-XXXX (North)
023-4XX-XXXX (South)
AT&T Arkansas
AT&T Kansas
AT&T Missouri
AT&T Oklahoma
AT&T Texas / EUCL Consumer
EUCL Single-Line Business
EUCL Multi-line Business
EUCL Payphone
EUCL ISDN BRI
EUCL ISDN PRI
PICC – Manual/Mechanized / Arkansas
501 LXX-XXXX
Kansas
316 LXX-XXXX
Missouri
314 LXX-XXXX
Oklahoma
405-LXX-XXX
Texas
Dallas 214 LXX-XXXX
Houston 713 LXX-XXXX
San Antonio 210 LXX-XXXX
AT&T Alabama
AT&T Florida
AT&T Georgia
AT&T Kentucky
AT&T Louisiana
AT&T Mississippi
AT&T North Carolina
AT&T South Carolina AT&T Tennessee / EUCL Single-Line Business
EUCL Multi-line Business
EUCL Payphone
EUCL ISDN PRI
EUCL ISDN BRI
EUCL Residence
PIC Change Charge – Residence
PIC Change Charge – Business / Example of Q account for the state of Florida:
305 QXX-XXXX-XXX
Example of Billing Account Number for the state of Florida:
305-NXX-XXXX-XXX

Purchases from AT&T Long Distance Guidebooks – Attachment A ONLY:

Purchases from AT&T Long Distance Service Guidebooks – Attachment A ONLY:

E-mail submission:

Combine ALL purchases you certify are Exempt Services on ONE Excel Attachment A.

Do NOT submit more than ONE Excel Attachment A for all your purchases from any of the

AT&T companies mentioned in these Directions. Attachment B will NOT be accepted for

purchases from AT&T Long Distance Guidebooks or AT&T Long Distance Service Guidebooks.

Please include billing account number(s) or telephone number(s) you claim are exempt.

Refer to the chart at the bottom of this page.

Fax / paper submission:

Use the chart at the bottom of this page to determine the type of billing/account information

you must provide on EACH Attachment A. Attachment B will NOT be accepted for purchases

from AT&T Long Distance Guidebooks or AT&T Long Distance Service Guidebooks.

ONE Attachment A is required for ALL services purchased from AT&T Long Distance.

A separate Attachment A is required for ALL services purchased from AT&T Long Distance

Service.

Please include billing account number(s) or telephone number(s) you claim are exempt.

Services purchased from
AT&T Long Distance
or
AT&T Long Distance Service / Example of Account number
or other info required
(X = any number) / This is called:
Private Line
ATM
Frame Relay / XX 123456 XXX XX XXX / the Billing Number on the bill

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