N.H. Code Admin. R. Puc 449.15 - Form CLEC-37 Change in Ownership

(a) On the "Change in Ownership" form required by Puc 441.03 the CLEC shall include:

(1) Information regarding both the transferor and transferee, including:

a. The CLEC's legal name;

b. The trade name the CLEC uses with its customers;

c. The CLEC's FEIN;

d. The CLEC's authorization number, or date of application if the authorization number is not yet available;

e. Contact information for the person responsible for the information on the form, to include:

1. The name and title;

2. The mailing address;

3. The telephone and fax numbers; and

4. Email address;

f. The printed name and title of the signatory;

(2) The number of New Hampshire customers affected;

(3) The effective date of the transfer; and

(4) The name under which the transferee will be providing service in New Hampshire.

(b) The transferee shall attach an updated Form CLEC-1 Contact Information for the transferee.

(c) The authorized representative of each CLEC shall:

(1) Sign and date the form; and

(2) Certify by signature that the information on the form is true and correct to the best of the individual's knowledge and belief, subject to the penalty for making unsworn false statements under RSA 641:3.

Notes

N.H. Code Admin. R. Puc 449.15

#8348, eff 5-10-05 (See Revision Note at chapter heading for Puc 400)