Public Service Commission of Wisconsin - Universal Service Fund
 
PSC Logo   Telecommunications Equipment Purchase Program (TEPP)
 

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APPLICATION FOR TEPP VOUCHER

    If you have questions about the application or the Telecommunications Equipment Purchase Program (TEPP) call :
    (844) 411-3861 (Voice) or (844) 411-3862 (TTY) , or e-mail TEPP@Solixinc.com



    (* indicates required field)
Applicant info
Last Name :*
 
First Name and MI :*
 
Maiden Name :
 
E-mail Address :
 
Date of Birth :*
(mm/dd/yyyy)
 
SSN(Last 4 Digits) : *
 
Applicant Personal Information
Street Address :*
(include Apt. number, if applicable)
 
City :*
 
State :*
ZIP Code :*
 
Phone Number :*
(ex. 123-456-7890)
 
If you do not yet have a phone number, enter 999-999-9999 in the Phone Number field above.
Phone Type :*
 
Disability Select One *
Please select the category that most affects your ability to use the telephone and offers the equipment necessary for you to make and receive telephone calls. If you have multiple disabilities and may need equipment approved under two different categories, please state that in the comment section below the list of disability categories and describe what equipment you may need for your secondary disability.
 





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