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Utility Regulatory Commission Forms

To search this catalog: From the toolbar in the Edit menu, select "Find". When the Find search box appears, enter a keyword or form number. The first search result will display with the keyword or number highlighted, at the top of the page. Click "Find next" until the desired form is highlighted.

For forms labeled "PDF", the free Adobe Acrobat Reader software is required to view and in some cases fill them out. Forms in other formats (MS Word, MS Excel, etc) are indicated where appropriate.

To open a form once you have chosen it, click on the linked State Form Number (such as 01365.pdf).

For questions about individual forms, please contact this agency's forms coordinator, Stacy Hunter at 317-232-2642.

For questions about how to use this catalog, or to inform us of a technical problem, please send e-mail to the Forms Management Division.

Forms marked "read-only" cannot be filled in on your computer. They must be printed out and filled in by hand or typewriter.

Title

Form Number
Electronic Format

Application & Notice of Service Cessation & Relinquishment of Provider of Last Resort Obligations within the State of Indiana

52714.pdf

Application for a Certificate of Franchise Authority to Provide Video Service in the State of Indiana

52712.pdf

Application for a Certification of Territorial Authority

52648.pdf

Notice of Change to Existing Certificate(s) on Franchise Authority to Provide Video Service in the State of Indiana

52713.pdf

Verified Application for Issuance of a Certificate of Territorial Authority to be a Radio Common Carrier (RCC) or Provide Commercial Mobile Radio Service (CMRS) within the State of Indiana

49536.pdf

Verified Application for Issuance of a Certificate of Territorial Authority to Resell Wide Area Telephone Service and/or Interexchange Intrastate Telecommunications Services within the State of Indiana

50491.pdf

Verified Notice of a Change in a Certificate of Territorial Authority for a Facilities-Based Provider of Local Exchange Service or Interexchange Service

50740.pdf

Verified Notice of a Change in a Certificate of Territorial Authority to be a Radio Common Carrier (RCC) or Provide Commercial Mobile Radio Service (CMRS) Issued by the State of Indiana

49537.pdf

Verified Notice of a Change in a Certificate of Territorial Authority to Resell Wide Area Telephone Service and/or Interexchange Intrastate Telecommunications Services Issued by the State of Indiana

50490.pdf

Verified Notice of Change in a Certificate of Territorial Authority to Resell Bundled Local Exchange Services within the State of Indiana

50739.pdf