Wyoming Public Service Commission

Telecommunication Forms

Certificated Form

For all companies seeking authority to provide certificated telecommunications services in Wyoming pursuant to W.S. §§ 37-15-201 through 37-26-502. The certificated form is for telecommunications companies regulated by the Commission and will offer local exchange services and/or have local facilities and therefore, are required to obtain a Certificate of Public Convenience and Necessity (CPCN) i.e. Local Exchange Companies (LECs).

Non-Certificated Form

For companies only providing non-certificated telecommunications services in Wyoming pursuant to W.S. §§ 37-15-201 through 37-26-502. The non-certificated form is for telecommunications companies required to register with the Commission that do not offer local exchange services or facilities therefore, are not required to obtain a Certificate of Public Convenience and Necessity (CPCN) i.e. interexchange (IXC) carriers.

Informational Form

The informational form is for telecommunications companies registered with the Wyoming Secretary of State and are intending to do business in Wyoming that may or may not be regulated by the Commission and the company is notifying the Commission of its intended entrance into Wyoming. The company informational form is used to set up a Docket Management System number with the Commission for assessment purposes. This form is used for companies not sure of reporting and assessment requirements and allows the Commission to determine what reporting and assessment requirements are necessary, if any.

Update form

The Update Form is for telecommunication companies’ already on file or registered with the Commission that need to update or change information. Please complete the sections the Company would like to update with the Commission. If there are no changes to a certain section please check “No Change” in the section. If there are changes to a certain section please check “Replace Previous Contact” in the section, if applicable.

Please note: Changes to anything other than address and contact information should be requested via an application with appropriate supporting documentation included. Changes to update your company’s price schedule URL should be done in writing on company letterhead, which should be in a searchable pdf document with a clickable link.

Confidential Emergency Contact List

Is required pursuant to Commission Rule Chapter 3, Section 3 and Commission Rule Chapter 4, Section 4(e) for all regulated telecommunications companies and should be submitted to the Commission each January and July, even if there aren’t any changes to the previous submittal. Additionally, this list should be updated as soon as any contacts change.

Service Interruption Reportable Incident Report (SIRT) – Telecommunications Utility

Is required pursuant to Commission Rule Chapter 4, Section 4 for all regulated telecommunications companies and should be completed within 24 hours of the initial SIRT notification or as otherwise directed by the Commission. The initial notification shall be reported to the Commission within two hours of onset of a reportable event.

Required Filings Cover Sheet

Please include this sheet with all filings made to the Commission.

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