Ill. Admin. Code tit. 83, pt. 757, subpt. F, exh. B
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: | ||
Ill. Admin. Code tit. 83, pt. 757, subpt. F, exh. B