CA 9-1-1 Forms

Competitive Local Exchange Carrier (CLEC) Forms

• OES-PSC-280A, Competitive Local Exchange Carrier (CLEC) Network Services Plan Form
• OES-PSC-280A, Competitive Local Exchange Carrier (CLEC) Network Services Plan Instructions (pdf)

Customer Premise Equipment (CPE) Forms

• OES-PSC-299, Advance Notification for CPE Funding Request Form
• OES-PSC-284, Stand-Alone CPE System Acceptance and Authorization Form

NextGen 9-1-1 Forms

• OES-PSC-289, CA 9-1-1 Service Order Form
• OES-PSC-291, Work Order Authorization Form
• OES-PSC-292, Project Milestone Report

Reimbursement Forms

• OES-PSC-290, Reimbursement Claim
• OES-PSC-290A, Reimbursement Claim Support Document

Voice Over Internet Protocol (VoIP) E9-1-1 Forms

• OES-PSC-280V, Voice Over Internet Protocol (VSP) Network Services Plan Form (10/2022)
• OES-PSC-280V, Voice Over Internet Protocol (VSP) Network Services Plan Instructions (pdf)
• OES-PSC-295, CA VoIP E9-1-1 Network Connectivity Application Form

Wireless E9-1-1 Forms

• Geographic Information Systems (GIS) Spending Plan Guide
• OES-PSC-280W, Wireless Service Provider (WSP) Network Connectivity Plan Form