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ILEC Forms

If you experience any problems with these forms please contact Josie Gage at 603-271-6028 or e-mail her at josie.gage@puc.nh.gov

Forms required from all ILECs:

 Form Due

•

 ILEC-1 Contact Information.doc annually or when information changes

•

 ILEC-2 Assessment Report.doc annually

•

 ILEC-3 Annual Report Cover Sheet.doc
ILEC-3 Annual Report.xls 		annually

•

 ILEC-4 Quality of Service Reports.doc annually

•

 ILEC-5 Quality of Service Report Card.doc annually

•

 ILEC-21 Report of Customer Troubles.doc monthly

•

 ILEC-23 Quarterly Financial Report Cover Sheet.doc
ILEC-23 Quarterly Financial Report.xls 		quarterly

•

 ILEC-30 Utility Accident Report.doc as needed

•

 ILEC-31 Authority to Issue Securities.doc as needed

•

 ILEC-32 Report of Proposed Fixed Capital Expenditures.doc as needed

•

 ILEC-33 Report of Proposed Changes in Depreciation Rates.doc as needed

•

 ILEC-38 Service Outage Report.doc as needed

 

Forms required from some ILECs (please refer to rules):

 Form Due

•

 ILEC-6 Jurisdictional Separations Report Cover Sheet.doc
ILEC-6 Jurisdictional Separations Report.xls 		annually

•

 ILEC-22 Monthly Financial Report Cover Sheet.doc
ILEC-22 Monthly Financial Report.xls 		monthly