State of Alaska Universal Service Fund Appendix 1, TA39-998
- A. Company Code
- AK9014
- B. Submission Date
- Wednesday, October 14, 2026
- C. Revenue Data Month and Year
- September 2026
- D. Original or Revision
- Original
Section 1 - Carrier Identification
1
Line 1: Company Name
Instructions
Enter the carrier name that identifies the filing entity and/or any doing business as (d/b/a) names if applicable.
Worksheet instructions
Fireweed Valley Telephone Cooperative
1.a
Line 1.a: Complete Mailing Address
Instructions
Enter the complete mailing address of the corporate headquarters of the carrier including street address, city, state, zip, suite numbers, floor, etc.
Worksheet instructions
PO Box 87, Delta Junction, AK 99737
1.c
office@fireweedvalley.example
From AUSAC's company record. Report a change to the company's details.
Section 2 - Monthly Intrastate End User Revenue Data
Enter numbers to the nearest whole dollar; for example, enter $1,258.67 as $1,259; enter $1,258.34 as $1,258.
RevenueLast six filed months
2
What goes on Line 2
Includes basic monthly charges, customer charges, installation fees, service order charges, vertical features, extended area service charges, location charges for mileage bands, and all other local exchange service revenues, such as would be found in the Company's tariff. (Do not include the federal subscriber line charge.) Also includes revenues from providing local services that involve dedicated circuits, private switching arrangements and/or predefined transmission paths.
Worksheet instructions
$
MarAprMayJunJulAug
Sep
Average $177,642
3
What goes on Line 3
Includes intrastate charges such as basic wireless monthly charges, usage charges, activation fees, service restoration, service order processing charges, end user prepaid wireless charges, administration fees, and all other wireless telecommunications revenues. Also includes airtime charges and roaming usage in Alaska. Airtime should include revenues billed to wireless customers for actual airtime usage.
Worksheet instructions
$
No revenue on this line in the last six months.
4
What goes on Line 4
Includes intrastate toll message revenues including operator services, cellular intrastate long distance revenues and intrastate 800 revenues. For purposes of determining intrastate 800 revenues, carriers may use the Percent Interstate Usage (PIU) factor used for reporting interstate access minutes to allocate revenues between interstate and intrastate. Also includes revenues from providing dedicated circuits, private switching arrangements and/or predefined transmission paths that extend beyond the basic service area.
Worksheet instructions
$
MarAprMayJunJulAug
Sep
Average $20,235
5
What goes on Line 5
Includes intrastate revenues derived from public and semi-public telephone services.
Worksheet instructions
$
MarAprMayJunJulAug
Sep
Average $120
6
What goes on Line 6
Includes interconnected Voice over Internet Protocol (VoIP) intrastate end user revenues.
Worksheet instructions
$
No revenue on this line in the last six months.
7
What goes on Line 7
Includes miscellaneous intrastate end user revenues that would not reasonably be included with one of the other service categories.
Worksheet instructions
$
MarAprMayJunJulAug
Sep
Average $6,792
7.a
What goes on Line 7.a
Report intrastate uncollectible revenues to the period the uncollectible revenue is recognized (written off). Represented by a negative amount in Line 7a.
Report recovered intrastate uncollectible revenue (uncollectible revenue that was previously reported) to the period the uncollectible revenue is received. Represented by a positive amount in Line 7a.
Worksheet instructions
$
MarAprMayJunJulAug
Sep
Average −$117
8
Line 8: Total Intrastate End User Revenues (sum of lines 2 through 7.a.)
Section 3 - Remittance Calculation
9
Line 9: AUSF Rate (effective January 1, 2026)
10
Line 10: AUSF Amount Due (line 8 X line 9)
Late payment rules
If payment is not received in immediately available funds by the due date, interest at the rate of .000287 per day, calculated on the total amount due, will be charged until the date paid. In addition to interest, if payment is not received in immediately available funds within two (2) working days of the due date, a one-time liquidated damages sum equal to the greater of one percent (1%) of the total amount due or $35.00 will be charged.
Section 5 - Certification
13
Line 13: Date, Name, Authorized Signature, Title
Instructions
Enter date, name, signature, and title of the person signing the report. The signature attests to the accuracy of all information on this remittance worksheet.
Worksheet instructions
Date Wednesday, October 14, 2026
Name Dana Whitlock
Signature Signed when you check the certification
Title Regulatory Consultant
14
Line 14: Contact Name, Contact Title, Phone Number
Instructions
Provide name, title, and telephone number of a person to contact if there are questions regarding this report. If contact person is same as authorized signature, indicate "same as line 14." Mailings will be sent to the contact person address unless other arrangements are made with AUSAC.
Worksheet instructions