| How to File the Item 21 Attachment Manually
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| If you do not wish to use this online
system, the Item 21 Attachment can be manually submitted to SLD by
e-mail, by fax, by U.S. mail or courier, or as a part of a manually filed Form
471 application. The attachment should include this information: |
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A label of "Form 471 Item 21 Attachment"
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The applicant's name
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The Attachment Number you have specified on Form 471 for the Item 21
Attachment.
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Additionally, if the Item 21 Attachment is being submitted separately from the
Form 471, then the Attachment or a cover letter must also include:
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The applicant's Billed Entity Number
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The Form 471 application number, if one has been assigned through electronic
filing, or the Form 471 Applicant Form Identifier, if the Form 471 has been
filed manually.
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| The Item 21 Attachment must be received before the SLD can
begin review of a Form 471 application. While the Item 21 Attachment need not
be submitted within the "Form 471 filing window," it must be filed in a timely
fashion so that SLD can review the information and make a determination of
product and service eligibility. |
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| Applicants who already have been contacted by a member of the
SLD review team about a submitted Form 471 should send the Item 21 Attachment
to the e-mail address or fax number that the SLD review team member provides.
Otherwise, Item 21 Attachments should be submitted in either of the following
ways. |
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| You may send submissions via Email to
attachments@sl.universalservice.org (Do not send submissions other than
Form 471 Item 21 Attachments to this e-mail address.) Documents may be sent in
most commercially available word processing or spreadsheet formats. Scanned
documents may also be sent. (TIF file format is preferred.) Total file size of
the e-mail message must be limited to less than 10 Megabytes. If you have more
than one Form 471 application, do not combine Item 21 Attachments from multiple
Form 471 applications in the same e-mail message. |
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| Send fax submissions to (973) 599-6511. (Do not send
submissions other than Form 471 Item 21 Attachments to this fax number.) |
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| Send U.S. mail submissions to SLD-Form 471, P. O. Box
7026, Lawrence, Kansas 66044-7026. For courier delivery services or U.S.
Postal Service Return Receipt Requested, send to SLD Forms, ATTN: SLD-Form 471,
3833 Greenway Drive, Lawrence, Kansas 66046. |
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| All certifications provided as a part of the Form 471 also
apply to the Item 21 Attachment, including certifications of compliance with
state and local procurement laws and compliance with Schools and Libraries
Support Mechanism program rules. Misrepresentations on the Item 21 Attachment
can result in the administrative and criminal penalties described in Block 6 of
Form 471. |
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