State of Vermont

Department of Public Service

Telecommunications and Connectivity

Telecommunications and Connectivity
General Information 
    This form can be used to contact the Telecommunications and Connectivity Division, to apply for the Line Extension program.


LECAP Application Instructions
*******Please review the guidelines before applying.*******

****Incomplete applications and/or missing documents will not be considered. ****

Notifications, updates, questions, and approvals will be sent to applicants via email. Please make sure to provide a valid email address.
Instructions:
- Review the guidelines document before applying.
- Complete the online form. Please answer all questions
- The consumer must have purchased a line extension or service drop after March 1, 2020. - The line extension/drop must be complete to apply.
- Line extensions already awarded LECAP grants are not eligible.
- The applicant must show a COVID-related need after March 1, 2020.
- The service address must be your primary residence in 2020 and a valid E911 address.
-Please provide a valid mailing address to receive payment.
-Include your provider account number for service verification.
You must attach the following documents at the time of application:
1. Itemized estimate, invoice, or signed service order for the extension or drop.
2. A dated proof of purchase (receipt, canceled check, or credit card statement)
3. Proof of service activation. (The first bill, activation notice, or other proof of service)
4. Proof of primary residency (if needed)
If the service address was not your primary residence for all of 2020 please include proof of when you began primary residency.


For application questions please email psd.lecap@vermont.gov
Summary 
Filer Info 
Please include contact information for applicant.
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Filer Phones 
Please provide a number that we can use to contact you.
Use the plus(+) sign at the bottom of the panel to add additional info.
Filer Address 
Please enter the location where the line extension is installed under "Service Address" Please enter the address to send payment under "Mailing Address"
 
Use the plus (+) sign at the bottom of the panel to add additional info.
Quesitons  
 


By submitting this application, I certify that:
1. I have the authority to request payment from the State of Vermont. I am requesting payment of the total award amount for costs incurred in connection with section 601 of the Social Security Act, as added by section 5001 of the Coronavirus Aid, Relief, and Economic Security Act, Pub. L. No. 116-136, div. A, Title V (Mar. 27, 2020) (“section 601”).
2. I understand that the State of Vermont will rely on this certification as a material representation in making this grant award.
3. As required by federal law, the proposed uses of the funds provided will be used only to cover those costs that-
a. are necessary expenditures incurred due to the public health emergency with respect to the Coronavirus Disease 2019 (COVID-19).
b. were not accounted for in the state budget most recently approved as of March 27, 2020.
c. were incurred during the period that begins on March 1, 2020, and ends on December 30, 2020.
4. To the best of my knowledge, as of the date that this Application is signed, neither Party nor Party’s principals (officers, directors, owners, or partners) are presently debarred, suspended, proposed for debarment, declared ineligible or excluded from participation in Federal programs, or programs supported in whole or in part by Federal funds. Entities that are suspended and/or debarred will have received a notification letter from the Federal Government. Information on suspension and debarment can be found here.
5. By submitting this application, I agree to repay this grant or any portion of this grant to the Department of Public Service if:
Any grant funds received are based on incorrect representations made on this application or to the Department of Public Service about this application; or any funds that are covered by other federal grants, federally forgiven loans, or state grant or loan funding received by the applicant for the same purpose. I agree that the final determination of whether there has been a duplication of benefits will be made by the Department of Public Service.