E-Rate Program Form

Frontier Communications E-Rate SPI Certification

Funding Year 2016

Note: Funding Requests with more than 100 Billing Account Numbers, click here to download the Certification Form. This form will need to completed and submitted manually for processing.

Applicant / Contact Information

* Denotes required fields.
Applicant Information
471 Applicant Entity Name:*
Spin #:*  
Funding Request #:*  
Form 471 Application #:*  
Discount Percentage:* %  
Form 470 Application #:*  
Billed Entity #:*  
Contact Information
Name:*
Title:*
Phone #:* ()  - 
E-mail:*
Confirm E-mail:*
.