Illinois Administrative Code
Title 83 - PUBLIC UTILITIES
Part 757 - TELEPHONE ASSISTANCE PROGRAMS
Subpart F - BIAS ASSISTANCE
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: