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E-rate FCC Form 500

Form 500 - Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form – The FCC Form 500, Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form, is used by the Billed Entity who filed an FCC Form 471, Services Ordered and Certification Form, on behalf of an eligible school, library, library consortium or consortium of multiple entities, and who received a commitment of funds to inform the fund administrator, the Schools and Libraries Division (SLD) of the Universal Service Administrative Company (USAC), that it wishes to reduce the funding commitment amount on the Funding Request Number (FRN) level, or about a modification in the beginning or ending date for services received during the funding year. The Form 500 must be filed to accomplish the following:

  • To adjust the Funding Year Service Start Date reported on a previously filed Form 486 for this Funding Year

  • To adjust the Contract Expiration Date listed on your Form 471 application for this Funding Year

  • To cancel irrevocably and totally a Funding Request Number (FRN)

  • To reduce irrevocably the amount of a Funding Request Number (FRN)
(USAC/SLD Web Site: FCC Form 500 Instructions)

Form 500 Notification Letter - [The Form 500 Notification Letter] is to notify [the applicant] that the Schools and Libraries Division (SLD) of the Universal Service Administrative Company has received and accepted an FCC Form 500 (Adjustment to Funding Commitment and Modification to Receipt of Service Confirmation Form). This notification is to confirm the information that [the applicant] provided. This information is [also] shared with the Service Provider whose SPIN [the applicant] identified on the affected Funding Request (FRN). (USAC/SLD Reference Area: Previous Sample Form 500 Notification Letter)

If the SLD has adjusted a Service Start Date, because of missing a CIPA deadline on a Form 486, the Form 500 cannot be used to change the Service Start Date to an earlier date.


USAC/SLD Documents:


Additional Related References: