Fcc form 460 2026

The document is the New FCC Form 460, which is a Rural Health Care Universal Service Eligibility and Registration Form. It outlines the process for health care providers (HCPs) to determine eligibility for funding under the Rural Health Care program. The form requires detailed information about the HCP site, consortium details, contact information, eligibility categories, and certifications. Compliance with instructions is crucial to avoid delays or denials in funding.

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Click ‘Get Form’ to open FCC Form 460 in the editor.
Begin with Block 1: General Information. Fill in the 'Date Submitted' and select the purpose of your application, such as determining eligibility for a health care provider (HCP) site.
In Block 2: Physical Location, enter the actual physical address of the HCP site, including details like 'Site Name', 'Address', and 'Contact Information'.
Proceed to Block 3: Consortium Information if applicable. Provide details about the consortium, including its name and legal status.
Complete Block 4: Contact Information by entering details for both primary and secondary account holders.
If seeking support, fill out Block 5: Eligibility Category by selecting the appropriate category that describes your HCP site.
Finally, review and sign in Block 7: Certifications and Signatures to confirm all information is accurate before submitting.

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