LSR Request

Important Information:

IMPORTANT: DO NOT RE-USE THE CSR PON! All CSR/LSR requests must have a unique PON.

Your Information

Your Name *

Your Email *

Providing a publicly available email (ex. Gmail) will result in a rejection of your request

Your SPID *

Admin PON *

DO NOT RE-USE THE CSR PON!

Version *

All initial submissions must be Version "0"

Supplemental Request *

Remarks *

In the case of a Supplement, please include a concise, yet detailed description of the exact change from the previous version.

Requested Due Date *

RDD must be a minimum of 3 business days out

Number Port Quantity *

Expedite

Port Type *

End-User Name *

Street Address *

City *

State *

Zip Code *

If you have more than 20 TNs, please download the project DID form and enter the TNs, then upload it below.

Project DID Form Upload (if more than 20 TNs):

Telephone Numbers

Number Format: XXXXXXXXXX (10 digits only, no spaces or dashes)

Enter one telephone number per line

I have a signed Letter Of Authorization on file from an authorized party on this account. *

LOA Authorized Name *

LOA Date *

The LOA must have been signed within the last 30 days

Select signed PDF copy of LOA to upload:

Not required, but we reserve the right to request this paperwork going forward

Are you human? Please type the following letters into the field below: *

LECMI