TITLE 83: PUBLIC UTILITIES
CHAPTER I: ILLINOIS COMMERCE COMMISSION
SUBCHAPTER f: TELEPHONE UTILITIES
PART 725 STANDARDS OF SERVICE APPLICABLE TO 9-1-1 EMERGENCY SYSTEMS
SECTION 725.APPENDIX A TELECOMMUNICATIONS CARRIER MONTHLY REPORT TO ETSB

Section 725.APPENDIX A Telecommunications Carrier Monthly Report to ETSB

Telecommunications Carrier Name:

Remittance for (Month/Year):

Total Number of Access Lines:

	Number						Rate		Revenues
Residential Lines
Business Lines
Payphone Lines
Centrex Lines
PBX Lines	(				)
Exempt Lines	(				)
TOTALS

Date Prepared

Preparer

Telephone Number

(Source: Amended at 28 Ill. Reg. 15742, effective December 1, 2004)