(1) FRN
(2) Service Provider Name and SPIN that has gone out of business
(3) Name and SPIN of a Service Provider in good standing that will act as a conduit so the applicant can recover the funds (typically the service provider that replaced your bankrupt provider). If your current provider is unwilling to be the Good Samaritan, USAC can assist applicants in such designation, if necessary.
(4) Provide statement to validate that the applicant has paid 100% for ALL services provided by the Service Provider who has the negative business issue.
(5) Cancelled checks (front and back) to show that you have paid for all of the services.
(6) Invoices supporting the services and reimbursement amount. I've spoken with USAC and because CTI was a long distance provider, they do not need full copies of the bills. They just need the summary pages of each month's invoice (not the call detail pages).
Mail letter and information to:
CTI Customers That Must Complete Good Sam Process
BEAVER CO FEDERATED LIB SYSTEM
CORRY AREA SCHOOL DISTRICT
DOVER AREA SCHOOL DISTRICT
GENERAL MCLANE SCHOOL DISTRICT
GREENCASTLE ANTRIM SCHOOL DIST
HANOVER PUBLIC LIBRARY
LIBRARY SYSTEM OF LANCASTER
LINE MOUNTAIN SCHOOL DISTRICT
LOWER DAUPHIN SCHOOL DISTRICT
MARTIN LIBRARY
NEW CASTLE AREA SCHOOL DIST
NORTHERN TIOGA SCHOOL DISTRICT
OUR LADYS CHRISTIAN SCHOOL
SMETHPORT AREA SCHOOL DISTRICT
ST GEORGE ELEMENTARY SCHOOL
ST VINCENT DE PAUL SCHOOL
TAMAQUA AREA SCHOOL DISTRICT
WARREN COUNTY SCHOOL DISTRICT
YORK COUNTY LIBRARY SYSTEM