Video Service Provider Forms
| • | Please include a Customer Order Form with your filing. |
| • | Forms with a  icon are Fillable Forms and may be filled out on your computer, see PDF instructions.
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| VIDEO SERVICE PROVIDER APPLICATIONS AND NOTICES | ||
| Application for Certificate of Authority and Affidavit
Initial application form to obtain a Certificate of Authority. | Form | |
| Amendment to Certificate of Authority
Amendment to add a service area to an existing Certificate of Authority. | Form | |
| Notice of Modification to Existing Service Area
Form to modify the boundaries of an existing service area authorized under a certificate. | Form | |
| Notice of Termination to Existing Service Area Notice form to terminate an existing authorized service area. | Form |
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| Notice of Transfer of Certificate of Authority Form for written notice of the transfer of the certificate of authority to a successor-in-interest. | Form |
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