PUBLIC SERVICE COMMISSION of the District of Columbia

1325 G Street NW, Suite 800 | Washington, D.C. 20005

Tel: (202) 626-5100

 

MANDATORY ANNUAL ASSESSMENT SURVEY OF
COMPETITIVE LOCAL EXCHANGE CARRIERS

 

Confidential:

Confidential

Exact Legal Name of the Company:

Company Name

FEIN:

FEIN

1. Please provide the following contact information:

Person completing this form:

Name

Telephone:

Telephone

Email:

Email

 

 

 

Regulatory Contact

Customer Service Contact

Name:

NameRC

NameCSC

Title:

TitleRC

TitleCSC

Street Address:

AddressRC

AddressCSC

City, State, Zip:

CityStateZipsRC

CityStateZipsCSC

Telephone Number:

TelephoneRC

TelephoneCSC

Email:

EmailRC

EmailCSC

Web Address:

WebRC

WebCSC

2. Anytime during the calendar year January 1, 2018 through December 31, 2018:

A. Were you providing jurisdictional, retail telecommunications services in the District of Columbia? supplyingTelecom

B. What was your gross revenue from retail telecommunications services that were subject to the jurisdiction of the DC PSC? (Note: gross jurisdictional revenue does not include revenue from wireless, broadband, Voice over Internet Protocol ("VoIP"), Interexchange, or Internet Protocol ("IP") - enabled service.)

B1. Local Telecommunications Services Revenue:

LocalTelecommunicationsServicesRevenue

B2. Resale & Surcharge Revenue:

ResaleSurchargeRevenue

B3. Gross Jurisdictional Revenue (Intrastate Revenue) B1 + B2:

Revenue

3. Please provide the following information for telecommunications services provided inthe District of Columbia:

Anytime during the calendar year January 1, 2018 through December 1, 2018:

Number of

Residential

Non-Residential

Non-Total

Customers

NumberOfCustomersR

NumberOfCustomersNR

NumberOfCustomersTotal

Lines Supplied

LinesSuppliedR

LinesSuppliedNR

LinesSuppliedTotal

4. Are you currently providing the following services in the District of Columbia:

VoIP:

VoIP

IP-enabled service:

IPEnabledService

Telecommunications services over wireless facilities:

TelecomServicesOverWirelessFacilities

Broadband:

Broadband

5A. Does your company provide facilities-based service, resale service, or both?: CompanyService

5B. Are you currently providing telecommunications service to subscribers on a resale basis: CurrentTelecomService

Other Provider: OtherProvider

5C. Are you currently providing telecommunications services to other CLECs in the District of Columbia?: OtherCLECs

If yes, please identify them below: OtherCLECsExplain