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CALIFORNIA PUBLIC UTILITIES COMMISSION

Advice Letter Filing Summary Sheet

(PAL)

(Date Filed / Received Stamp by CPUC Industry Division)

Date AL served on parties: _________________

Company Name:

CPUC Utility Number U - ________

Address:

GRC-LEC URF-Carrier Other

City, State, ZIP::

Commission Resolution Requested

Carrier of Last Resort (See D.96-10-066)

Filing AL #: ___________ Requested Effective Date: ________________

AL Tier I II III

Name:

Email Address:

Phone No.:

Fax No.:

    Filer

       

Certif.

     

No. Tariff

Sheets: ______

(Name, email address & Phone and FAX numbers are Required for "Filer")

Tariff Schedules: ________________________________________ Keyword: _____________________________________

(see keyword list on reverse)

For Contract Keyword, Type: Government Other Date Executed ____________ Contract Total Rev ($)_______________

Subject of filing: _____________________________________________________________________________

(Service(s) included)

Authorization for filing: _______________________________________________________________________

(Resolution #, Decision #, etc.)

Affected services:_____________________________________________________________________________

(Other services affected, pending or replacement AL filings)

Rate Element(s) affected and % change: _________________________________________________________

(Non-recurring and / or recurring)

Customer Notice Required (if so, please attach)

Notes/Comments: __________________________________________________________________________________________________________________________

(Other information & reference to advice letter, etc.)

File Protest and/or Correspondence to:

Director, Communications Division

505 Van Ness Ave., San Francisco, CA 94102

and if you have email capability, ALSO email to:

TD_PAL@cpuc.ca.gov

Protest also must be served on utility:

(see utility advice letter for more information)

GRC-LEC = Cost of Service LEC Carrier

URF-Carrier = Uniform Regulatory Framework Carrier

(see D.06-08-030/D.07-09-019)

OTHER = Wireless (CMRS) Carrier

(FOR CPUC USE ONLY)

¨ Resolution Required

¨ Executive Action Resolution Req'd.

¨ TD Suspension on: ___ / ____ / ____

¨ Comm. Suspension on: ___ / ___ / ___

Resolution No.: T - ____________

Rev. 09/24/07

Supv. / Analyst ________________ / ________________

Due Date to Supv.: _______________________________

Analyst Completion Date: _________________________

Supervisor Approval Date: ________________________

AL / Tariff Effective Date: _________________________

Notes: ___________________________________________

CALIFORNIA PUBLIC UTILITIES COMMISSION

KEYWORD LIST

FOR TELECOMMUNICATIONS UTILITY

ADVICE LETTER FILINGS

(Revised June 30, 2008)

Keywords:

Description:

Service Changes

Any permanent change(s) to currently tariffed rates, charges, and/or terms and/or conditions of service

Special / Provisional Offerings

Any non-permanent change(s) to currently tariffed rates, charges, and/or terms and/or conditions of service (i.e. promotions and grandfather requests, etc.)

Decision / Resolution Compliance

Any filing made in compliance with a Commission order (indicate order number(s))

Contracts

Any contract or agreement other than a negotiated interconnection agreement; please indicate type (government or other),date executed, and total revenue ($)

Interconnection Agreement

Any negotiated interconnection agreement per Section 252 of the Telecommunications Act

New Service

Any new tariffed service offering

GRC

Any General Rate Case filing

Carrier Information Changes

Name, DBA, contact information, mergers, transfers of control, and other licensing actions not requiring a formal application

California High Cost Fund-A (CHCF-A)

Any CHCF-A program filing requiring Commission action by Resolution

California High Cost Fund-B (CHCF-B)

Any CHCF-B program filing (including Carrier of Last Resort certification) requiring Commission action by Resolution

California Teleconnect Fund (CTF)

Any CTF program filing requiring Commission action by Resolution

Universal Lifeline Telephone Service (ULTS)

Any ULTS program filing requiring Commission action by Resolution

Deaf and Disabled Telephone Program (DDTP)

Any DDTP program filing requiring Commission action by Resolution

Eligible Telecommunications Carrier (ETC)

Filings made to be designated as an ETC, to continue ETC designation, or to have ETC designation rescinded.

URF Carrier detariff filing

Tier 2 filing requesting to detariff pursuant to

D.07-09-018, or file notice of new detariffed offers.

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