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Click ‘Get Form’ to open the Oregon Surcharge Form 2011 in our platform.
Begin by entering the Telecommunications Provider's Name and Business Office Address at the top of the form. This information is crucial for identification.
Fill in the Report Period, including Month/Year, and provide your PUC Assigned Company ID# for verification purposes.
Complete the contact details for both the provider and preparer, including names, addresses, telephone numbers, and emails.
In Section 1, input the total number of access lines and wireless instruments billed during the report period.
For Section 2, list any subtractions or exemptions applicable to your report. Be thorough in detailing unpaid billings and exempt entities.
Calculate the total surcharge amount due by multiplying the number of access lines subject to surcharge by the current surcharge rate.
Finally, print and sign where indicated to certify that your report is accurate before submitting it as instructed.
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