E-Rate Record Keeping Checklist
Form 471
Form Identifier:__________________ Date Submitted:__________________
Applicant:___________________________ Contact:____________________________

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Copy of a completed Form 471(if manually filed) with signature (including student eligibility information, Item (21) information/attachments)

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Copy of Form 471 certification (if filed online)

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Verification of receipt of Form 471 or certification at the SLD

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Receipt Acknowledge Letter (RAL Letter to make changes if necessary)

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Commitment Letter from the SLD

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Documentation of any changes requested by the SLD (changes to the Form 471)

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Any documentation for an Item (25) review by the SLD