CLEC Report & CSPRS Website Request Form

Application for Individual CLEC Service Performance Measurement Report(s) and

access to Sprint Performance Measurement Reporting website

All information must be filled out for the request to be processed.

Section 1:

Today’s Date: ______

CLEC Name: ______

CLEC CONTACT:

First Name: ______MI: ______Last Name: ______

CLEC Business Phone: ______CLEC Business Fax: ______

CLEC Identifying Codes: Operating Company Number (OCN) ______

National Emergency Number Code (911 NENA Code) ______

Service Provider Identification (SPID) ______

______

Section 2:

CLEC Reports to be Created for the FollowingState(s)*: ______

* CLEC reports will only be generated for states in which the CLEC currently has activity and in states where Sprint is considered the ILEC.

Access Request: NEW CHANGE DELETE ACCESS RENEWED

______

Section 3:

**NON-DISCLOSURE AGREEMENT:

User acknowledges that any and all information obtained from Sprint’s Parity Reporting system using your CLEC/ID password is deemed confidential and proprietary subject the Confidentiality and Publicity section of the interconnection agreement between the parties. Accordingly, this information may not be disclosed to any person or entity outside of the CLEC or the CLEC affiliates without the prior authorization of Sprint or, with regard to the CLEC aggregate data, as otherwise directed by the State Regulatory Agency. Be advised that divulging any Sprint-specific performance measure results contained in the reports or your CLEC ID/password is a violation of the non-disclosure terms and could result in loss of access to parity.sprint.com. In addition, Sprint reserves the right to pursue any and all remedies available to it for any violation of this agreement.

Print Name: ______Signature: ______Date: ______

CLEC: Completed forms may be returned to your Sprint Account Management Representative. It is important to note that your password will change periodically for protection purposes. If you need more information or have any questions, please contact your Sprint Account Management Representative.

______

Section 4:

CLEC Company Approval: ______Date: ______

(Company Executive Signature)

PLEASE PRINT NAME: ______Title: ______

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Section 5: (This Section to be Completed by Sprint)

CLEC Username: ______CLEC Password: ______

Username to be provided by Sprint Password to be provided by Sprint

Sprint Field Service Manager Business Phone: ______

Sprint Field Service Manager Business Fax:______

Sprint Field Service Manager E-mail Address: ______

Sprint Wholesale Markets Approval: ______

(Sprint Account Management Representative)

Warning:

UPON COMPLETION, THIS FORM CONTAINS SPRINT RESTRICTED INFORMATION!