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FORMS

Individual

• Online Complaint Submission
• Low Income Assistance Information

Company Forms and Annual Reports

The following forms are in Excel 2003 or PDF format and can be downloaded. You then can enter your data. You must file a paper copy of the report.
If the report is electronically prepared, please e-mail a copy to the Division at phicken@utah.gov.

(Note: In Internet Explorer, you may have to right-click and then select "save-target-as".)

Hearing Impaired Remittance Form

• Hearing Impaired Remittance (PDF)

USF Surcharge Forms

• Incumbent LEC Utah USF Surcharge Remittal Statement( Excel Format)
• All CLECs and Flexibly Priced LECS USF Surcharge Remittal Statement( Excel Format)
• Wireless and Reseller Companies USF Surcharge Remittal Statement (PDF)

Gross Revenue Fee Reports

• Energy, Gas, Water and Sewer - Gross Revenue Fee Report ( Excel Format)
• Telecommunication Companies - Gross Revenue Fee Report ( Excel Format)
• Railroads - Gross Revenue Fee Report ( Excel Format)

Annual Reports

• Incumbent Local Exchange Carrier (ILEC) Annual Report ( Excel Format)
• All CLECs and ILECs That Have Been Flexibly Priced( Excel Format)
• Electric Cooperative Association Annual Report ( Excel Format)
• Wastewater Utilities Annual Report ( Excel Format)
• Water Utilities Annual Report ( Excel Format)