Telecommunications and Connectivity

General Information

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LECAP Program email notification sign-up. PLEASE NOTE THIS IS NOT AN APPLICATION FORM. The 2021 LECAP program has ended. Please complete this form if you would like to be notified via email about the creation of a 2022 Line Extension Customer Assistance Program. This is to receive a program notification only. This is not an application form and you will receive NO broadband financial assistance based on completion of this form. As of January 2022, there is NO FUNDING for a 2022 LECAP program. If funding is allocated it will typically be announced in the spring. Announcements will likely be sent 2 or 3 weeks ahead of any new application window. Thank you for your interest in the LECAP program.

LECAP Program email notification sign-up.
PLEASE NOTE THIS IS NOT AN APPLICATION FORM. The 2021 LECAP program has ended.

Please complete this form if you would like to be notified via email about the creation of a 2022 Line Extension Customer Assistance Program. This is to receive a program notification only. This is not an application form and you will receive NO broadband financial assistance based on completion of this form.

As of January 2022, there is NO FUNDING for a 2022 LECAP program. If funding is allocated it will typically be announced in the spring. Announcements will likely be sent 2 or 3 weeks ahead of any new application window.

Thank you for your interest in the LECAP program.

Summary

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Reason for Contact*	Issue Type
Which internet provider are you likely to purchase an extension from?

Filer Info

Please include contact information for applicant.

Last name / Business name*

First Name*

Email*

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.

Telephone Type	Telephone Type
Telephone Number*
Extension

Filer Phones

Filer Address

1)Please enter a E911 "service address" where the line extension will be installed 2)Please enter a mailing address (if different)

*Use the plus (+) sign at the bottom of the panel to add additional info.*
Address Type	Address Type
Address 1
Address 2
Zip
Town/City
State	Us State

Filer Address

Quesitons

Are you interested in reimbursement for an extension you already purchased?

Is your service address your Primary Residence?*

Is your broadband meed COVID related? (check all that apply).**

Additional Notes (Details on Residency / Funding / Comments / Other)

Current Internet Service Provider "ISP"?

Current Internet Speed?

Neighborhood / Group Information

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Would this part of a neighborhood (group) extension?

Document upload

Required Documents
Documents uploads are not required, but you may upload a provider estimate or other related documents.

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EDocument Upload

By submitting this application, I certify that:

By submitting this form, I attest that the information provided is correct to the best of my knowledge. I understand that this is NOT a benefits application and the information provided on this form will be used to contact interested consumers only if a new line extension program is offered.
The Department Of Public Service may provide my contact information to other agencies or departments if a similar program is offered elsewhere.

State of Vermont

Telecommunications and Connectivity