§757.EXHIBIT B. LEC Annual Report to the Commission

LOCAL EXCHANGE COMPANY:

FOR CALENDAR YEAR ENDING:

UTSAP EXPENDITURE REPORT

Calendar Year

1.

Telecommunications Expenses

a.

Billing and Data Processing

$

b.

Customer Notification and Bill Inserts

c.

Certification Administration (LEC) and Contact Time

(Total of Lines 1-5 below)

1.

Materials

2.

Postage

3.

Transportation Expenses

4.

Preprinted Forms

5.

Other

d.

Certification Administration (HFS/SSI)

e.

Service Representative Training

f.

Other, please specify

TOTAL

$

Less UTSAP Reimbursement Received

$

BALANCE

$

2.      Notes:

 

 

 

 

(Source:  Added at 37 Ill. Reg. 11287, effective July 2, 2013)