State of Vermont
Department of Public Service
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Telecommunications and Connectivity
General Information
a23842837496000
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
a23842850470600
Reason for Contact
*
Issue Type
Which internet provider are you likely to purchase an extension from?
Filer Info
a23843025624800
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
Cell
Fax
Home
Work
Alternate
Service
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
Mailing
Service
Address Type
Address 1
Address 2
Zip
Town/City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Hawaii
Idaho
Illinois
Indiana
Iowa
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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New Hampshire
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New Mexico
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North Carolina
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Us State
Filer Address
Quesitons
Are you interested in reimbursement for an extension you already purchased?
Yes
No
Is your service address your Primary Residence?
*
Yes
No
Is your broadband meed COVID related? (check all that apply).*
*
Distance Learning
None
Remote Work
Telehealth
Multiple
Select
All
None
Inverse
Cancel
Lookup List
Distance Learning
None
Remote Work
Telehealth
Additional Notes (Details on Residency / Funding / Comments / Other)
Current Internet Service Provider "ISP"?
Current Internet Speed?
25/3- Cable o
10/1 - DSL or Wireless10/1 - DSL or Wireless
4/1 - DSL or Wireless
100/100 - Fiber
None
Underserved - DSL-Wireless-Dial-up
Current Speed
Neighborhood / Group Information
a23843163707500
Would this part of a neighborhood (group) extension?
Yes
No
a23843168600700
Document upload
Required Documents
Documents uploads are not required, but you may upload a provider estimate or other related documents.
a23843169411100
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.
Proceed