Federal Communications Commission (FCC) Forms in Microsoft Word

Form # Form Title Price Buy Now
Election Statement Broadcast and Cable Initial Election Statement $12.99
Class A Statement of Eligibility for Class A Low Power Television Station Status $12.99
159 Remittance Advice (Revised to accommodate FRN and can be used for payments) $12.99
159-W Interstate Telephone Service Provider Worksheet $12.99
160 CORES Registration Form $12.99
161 CORES Update/Change Forms $12.99
162 CORES Certification Form $12.99
175 Application to Participate in an FCC Auction $12.99
201 Emergency Alert System EAS Activation Report $12.99
301 Application for Construction Permit for Commercial Broadcast Station $12.99
301-CA Application for Authority to Make Changes in a Class A Television Broadcast Station $12.99
302-AM Application for AM Broadcast Station License $12.99
302-CA Application for Class A Television Broadcast Station Construction Permit or License $12.99
302-FM Application for FM Broadcast Station License $12.99
302-TV Application for TV Broadcast Station License $12.99
302-DTV Application for Digital Television Broadcast Station License $12.99
303-S Application for Renewal License for AM, FM, TV, Translator, or LPTV Station $12.99
304 Application for Multipoint Distribution Service Authorization $12.99
304-A Certification of Completion of Construction for a Multipoint Distribution Service $12.99
304-A Application for Assignment of a Multipoint Distribution Service Authorization $12.99
306 Application for Transfer of Control of a Multipoint Distribution Service Authorization $12.99
312 Application for Satellite Space and Earth Station Authorizations $12.99
313 Form 313 was replaced by Form 601 $12.99
313-R Form 313 R was replaced by Form 601 $12.99
314 Application for Consent to Assignment of Broadcast Station Construction Permit or License $12.99
315 Application for Consent to Transfer Control of Corporation Holding Broadcast Station Construction Permit or License $12.99
316 Application for Consent to Assignment of Radio Broadcast Station Construction Permit or License or Transfer of Control or Corporation Holding Radio Broadcast Station Construction Permit or License $12.99
317 Annual DTV Ancillary/Supplemental Services Report for Commercial Digital Television Stations $12.99
318 Application for Construction Permit for a Low Power FM Broadcast Station $12.99
319 Application for a Low Power FM Broadcast Station License $12.99
320 Basic Signal Leakage Per Formance Report for Media Bureau $12.99
321 Aeronautical Frequency Notification $12.99
322 Cable Community Registration $12.99
323 Ownership Report for Commercial Broadcast Station $12.99
323-E Ownership Report for Noncommercial Educational Broadcast Station $12.99
324 Cable Operator, Mail Address, And Operational Status Changes $12.99
327 Application for Cable Television Relay Service Station Authorization $12.99
328 Certification of Franchising Authority to Regulate Basic Cable Service Rates and Initial Findings of Lack of Effective Competition $12.99
330 Application for Authorization to Construct New or Make Changes in an Instructional Fixed and/or Response Station(s). $12.99
330A Certification of Completion of Construction for an Instructional Television Fixed Service $12.99
330-R Application for Renewal of Instructional Television Fixed Station and/or Response Station(s) and Low Power Relay Station(s) License $12.99
331 Application for Multipoint Distribution Service or Instructional Television Fixed Service Modification to Main Station, Booster Station, Response Station Hub or 125 kHz (I Channel) Station $12.99
337 Application for Extension of Time to Construct a Digital Television Broadcast Station $12.99
340 Application for Construction Permit for Reserved Channel Noncommercial Educational Broadcast Station $12.99
340-Supp Point Supplement to Pending FCC 340 Filed Prior to Point System (Noncommercial Educational Broadcast Station) $12.99
345 Application for Transfer of Control of a Corporate Licensee or Permittee, or Assignment of License or Permit, for an FM or TV Translator Station, or a Low Power Television Station $12.99
346 Application for Authority to Construct or Make Changes in a Low Power TV, TV Translator, or TV Booster Station $12.99
347 Application for a Low Power TV, TV Translator or TV Booster Station License $12.99
349 Application for Authority to Construct or Make changes in a FM Translator, or FM Booster Station $12.99
349-Supp Point Supplement to Pending FCC 349 Filed Prior to Point System (Noncommercial Educational FM Translator Station) $12.99
350 Application for an FM Translator or FM Translator or FM Booster Station License $12.99
393 Determination of Maximum Initial Permitted Rates for Regulated Cable Programming Services and Equipment $12.99
394 Application for Franchise Authority Consent to Assignment or Transfer of Control of Cable Television Franchise $12.99
395 Common Carrier Annual Employment Report $12.99
395-A Cable Television Annual Employment Report 2000 $12.99
395-B Broadcast Station Annual Employment Report $12.99
396 Broadcast Equal Employment Opportunity Program Report $12.99
396-A Broadcast Equal Employment Opportunity Model Program Report $12.99
396-C MVPD EEO Program Annual Report $12.99
397 Broadcast Statement of Compliance $12.99
398 Children’s Television Programming Report $12.99
405 Application for Renewal of Radio Station License in Specified Services $12.99
409 Form 409 is not obtainable from the Distribution Center. You must print from this site or call the Right Fax service (202) 418-0177 to receive a faxed copy $12.99
430 License Qualification Report for Multipoint Distribution Service $12.99
442 Application for New or Modified Radio Station Authorization Under Part 5 of FCC Rules-Experimental Radio Service (Other than Broadcast) $12.99
FCC 465 Health Care Providers Universal Service Forms 465, Description of Services Requested and Certification Form $12.99
FCC466 466, Funding Request and Certification Form $12.99
FCC466-A 466-A, Internet Toll Charge Discount Request $12.99
FCC467 467, Connection Certification $12.99
FCC468 468, Telecommunications Carrier Form $12.99
FCC 470 Schools and Libraries Universal Service Forms 470, Description of Services Requested and Certification Form $12.99
FCC 471 471, Services Ordered and Certification Form $12.99
FCC 472 472, Billed Entity Applicant Reimbursement Form $12.99
FCC473 473, Service Provider Annual Certification Form $12.99
FCC 474 474, Service Provider Invoice Form $12.99
FCC 479 479, Certification by Administrative Authority to Billed Entity of Compliance With the Children’s Internet Protection Act $12.99
FCC 486 486, Receipt of Service Confirmation Form $12.99
FCC 498 498, Service Provider In Formation Form $12.99
FCC500 500, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form $12.99
475 Complaint Form for General Telephone-Related Issues $12.99
477 Local Competition and Broadband Reporting $12.99
478 Telecommunications Slamming Complaint Reporting Form $12.99
485 Formal Complaint Intake Form $12.99
492 Rate of Return Report $12.99
492A Price Cap Regulation Rate of Return Monitoring Report $12.99
499-A (2004) Telecommunications Reporting Worksheet – Annual $12.99
499-A (2003) Telecommunications Reporting Worksheet-Annual Filing. All carriers must file by April 1 $12.99
499-A (2002) Telecommunications Reporting Worksheet-Annual Filing. All carriers must file by April 1 Public Notices: March 4, 2002 | January 30, 2002 | October 29, 2001 $12.99
499-Q Telecommunications Reporting Worksheet-Quarterly Filing for Universal Service Contributors $12.99
499-Q (2002) Telecommunications Reporting Worksheet- Quarterly Filing for Universal Service Contributors $12.99
502 North American Numbering Plan Numbering Resource Utilization/Forecast Report Geographic Numbers Non-Geographic Numbers $12.99
506 Form 506 was replaced by Form 605 $12.99
601 Application for Wireless Telecommunications Bureau Radio Service Authorization You may also need Forms 159, 160 and 1070M $12.99
FCC 601a Schedule for Changes Affecting Multiple Call Signs
or File Numbers Form FCC 601
$12.99
FCC 601b Schedule for Geographically Licensed Services $12.99
FCC 601c $12.99
FCC 601D Wireless Telecommunications Bureau and/or Public Safety and Homeland Security Bureau Schedule for Station Locations and Antenna Structures $12.99
FCC 601e Schedule for the
Broadband Radio Service and Educational Broadband Service
(Part 27)
$12.99
FCC 601f Technical Data Schedule for the Cellular and
Air-ground (Commercial Aviation)
Radiotelephone Services (Part 22)
$12.99
FCC 601g Technical Data Schedule for the
Maritime and Aviation Services (Parts 80 and 87)
$12.99
FCC 601H Technical Data Schedule for the Private Land Mobile and Land Mobile Broadcast Auxiliary Radio Services (Parts 90 and 74) $12.99
FCC 601i Instructions for Technical Data Schedule for the
Fixed Microwave and Microwave Broadcast Auxiliary Services
(Parts 101 and 74)
$12.99
FCC 601j Technical Data Schedule for the Paging, Rural,
Air-ground (General Aviation), and
Offshore Radiotelephone Services (Part 22)
$12.99
FCC 601k Schedule for Required Notifications
for Wireless Services
$12.99
FCC 601fs MANUAL FILING INSTRUCTIONS FOR FCC 601
WITH A SIMPLE PURPOSE
$12.99
FCC 601ps RENEWAL ONLY PURPOSE FOR PUBLIC SAFETY LICENSEES $12.99
602 FCC Ownership Disclosure In Formation for the Wireless Telecommunications Services $12.99
603 FCC Wireless Telecommunications Bureau Application for Assignments of Authorization and Transfers of Control You may also need Forms 159 and 160 $12.99
603-T FCC Wireless Telecommunications Bureau Application or Notification for Spectrum Leasing Arrangement $12.99
605 Quick-Form Application for Authorization in the Ship, Aircraft, Amateur, Restricted and Commercial Operator, and General Mobile Radio Services You may also need Forms 159, 160 and 1070Y $12.99
606 Associate WTB Call Signs & Antenna Registration Numbers With Licensee’s FRN $12.99
620 New Tower (“NT”) Submission Packet FCC Form 620 $25.50
621 Collocation (“CO”) Submission Packet FCC Form 621 (11 pages) $12.99
701 Application for Additional Time to Construct a Radio Station (Under 47 CFR Parts 21, 23 and 25) $12.99
702 Application for Consent to Assign an Experimental AuthorizationThis Form is only being used by the Experimental Radio Service $12.99
703 Application for Consent to Transfer Control of Corporation Holding Station License $12.99
740 Statement Regarding the Importation of Radio Frequency Devices Capable of Causing Harmful Interference $12.99
753 Form 753 was replaced by Form 605 $12.99
755 Form 755 was replaced by Form 605 $12.99
756 Form 756 was replaced by Form 605 $12.99
806 Certificate of Compliance with the Radio Provisions of the International Convention for the Safety of Life at Sea, 1974, (As Amended) $12.99
824 Communications Act Safety Radiotelephony Certificate $12.99
827 Vessel Bridge-to-Bridge Radiotelephony Certificate $12.99
829 Cargo Ship Safety Radio Certificate $12.99
854 Application for Antenna Registration $12.99
1068-A Supplemental In Formation 72-76 MHz Operational Fixed Stations $12.99
1200 Setting Maximum Initial Permitted rates for Regulated Cable Services and Equipment $12.99
1205 Instructions For Determining Costs of Regulated Cable Equipment and Installation $12.99
1210 Updating Maximum Permitted Rates for Regulated Cable Services and Equipment $12.99
1215 A La Carte Channel Offerings $12.99
1220 Computations of Cable Services Revenue Requirements and Charges-Cost of Service Showing $12.99
1225 Computation of Cable Services Revenue Requirements and Cost of Service (Small Systems) $12.99
1230 Establishing Maximum Permitted Rates for Regulated Cable Services on Small Cable Systems $12.99
1240 Annual Updating for Maximum Permitted Rates For Regulated Cable Service. $12.99
1275 Open Video System Certification of Compliance $12.99
5072 Changes in Official Mailing Address for Broadcast Station $12.99