PUBLIC UTILITY COMMISSION OF OREGON
PO BOX 1088
SALEM, OR 97308-1088
CARRIER-TO-CARRIER AGREEMENT CHECKLIST
INSTRUCTIONS: Please complete all applicable parts of this form and submit it with related materials when filing a
carrier-to-carrier agreement pursuant to 47 U.S.C. 252 and OAR 860-016-0000 et al. The Commission will use the
information from this form to determine how to process the filing. Unless you request otherwise in writing, the
Commission will serve all documents related to the review of this agreement to the e-mail address listed below.
1. PARTIE
S Competitive Carrier Incumbent Local Exchange Carrier
Name of Party:
Contact for Processing Questions:
Name
Telephone:
E-mail:
Contact for Legal Questions (if different)
Name:
Telephone:
E-mail:
Other Persons wanting e-mail service of documents (if any)
Name:
E-mail:
2. TYPE O
F FILING NOTE: Parties making multiple requests (such as seeking to adopt a previously approved
Agreement and Commission approval of new negotiated amendments to that agreement)
should submit a separate checklist for each requested action.
Adoption
: Adopts existing carrier-to-carrier agreement approved by the Commission.
Docket ARB
Parties to prior agreement:
&
New Ag
reement
: Seeks approval of a new negotiated agreement.
Does ado
ption or agreement replace an existing agreement between the parties?
NO
YES, Docket ARB _______________________
Amendm
ent
: Amends an existing carrier to carrier agreement.
Docket ARB _______________________________
Does t
his filing replace an agreement or amendment currently pending Commission approval?
NO
YES, Docket ARB _________________, Filed on ___________________
Attachment(s) provided on CD, DVD or flash drive.
FM906 2/2015
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