Telecommunications Data Request Forms

The following forms are downloadable spreadsheets to be used for the purpose of complying with various Telecommunications Division data requests. If you have any questions regarding these files please contact the appropriate assigned staff member.

Projected Claims for the LifeLine Program For Fiscal Year 2018-2019

Only applicable to those carriers that plan to file California LifeLine claim reimbursements for FY 2018-19.

Projected Claims for the Wireless LifeLine Program For Fiscal Year 2017-2018 and Fiscal Year 2018-2019

Only applicable to those carriers that currently file and plan to file California LifeLine claim reimbursements for FY 2018-19.

 Projected Claims for the LifeLine Program For Fiscal Year 2017-2018

Only applicable to those carriers that plan to file California LifeLine claim reimbursements for FY 2016-2017.

 

Projected Claims for the Wireless LifeLine Program For Fiscal Year 2016-2017 and Fiscal Year 2017-2018

Only applicable to those carriers that currently file and plan to file California LifeLine claim reimbursements for FY 2016-2017.

Projected Claims from the CHCF-B Program for Fiscal Year 2010-11

Projected Revenue Data for Fiscal Year 2014-15 and 2015-16 (Billing Base)

  • Carriers are no longer required to submit these estimates.



Last Modified: 5/11/2015

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