| E-Rate Record Keeping Checklist |
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| Form 486 |
| Form Identifier:__________________ |
Date Submitted:__________________ |
| Applicant:___________________________ |
Contact:____________________________ |
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Copy of a completed Form 486 |
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Verification of Form 486 receipt |
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| Form 472 ("BEAR") |
| Form Identifier:__________________ |
Date Submitted:__________________ |
| Applicant:___________________________ |
Contact:____________________________ |
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Copy of a completed Form 472 BEAR(s) with signatures |
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Verification of Form 472 receipt by the SLD |
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SLD letter of vendor payment |
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Copy of payments received |
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