Forms

Getting Started

To become a Facility Based or a Reseller CLEC within the EMBARQ™ territory, follow these steps:

Step 1

Obtain certification from the Public Utilities Commission in the state(s) where you plan to operate.

Step 2

Fill out the Negotiation Request form for the desired negotiations and e-mail it to the CLEC Account Negotiation Team.

Step 3

Once EMBARQ receives the completed CLEC Negotiation Request form, you will be e-mailed a CLEC Interconnection Agreement template, a pricing list for each state requested, and a 160-day letter.

Step 4

Once both parties have signed the Interconnection Agreement, an account manager will be assigned as your contact within EMBARQ for implementation services. Please see the Customer Contact section of this site for more contact information.

Start-Up Forms

To establish billing accounts for Competitive Local Exchange Carriers (CLECs), the following eight forms and/or documents must be completed and submitted to EMBARQ. CLECs will not be able to process any Access Service Requests (ASRs) or Local Service Requests (LSRs) until these documents have been received, approved and processed by your Sales Manager; and the deposit requirements fulfilled.

Required documentation:

Please submit copies of your original of the following two items:

1. Public Service Commission (PSC)/Public Utilities Commission (PUC) Certification - a copy of the letter received from the appropriate state commission is required.
2. Operating Company Number (OCN) - a copy of the notification from the National Exchange Carrier Association (NECA) is required. If you have not yet applied for an OCN, you may contact NECA at 888-221-6322.

Required forms:

Download the following forms and email them to your Sales Manager. Additionally, provide hard copies of those documents requiring a signature (if electronic signature is not available).

The following forms may be useful to you while purchasing services from EMBARQ.