AT&T Billing Documents and Forms
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| NAVIGATION | top | ||
|---|---|---|---|
|   | CLEC Online | ||
|   | Prime Access | ||
| AT&T Billing Forms | top | |||
|---|---|---|---|---|
|   | Late Payment Charge Claims | |||
| Revised: 11/19/19 |   | Billing Claims Dispute Form | ||
| Revised: 11/20/24 |   | Billing Claims Re-Dispute Form | ||
|   | Collocation Claims | |||
|   | Federal and State Specific Tax Forms | |||
| Revised: 04/19/13 |   | Dispute Resolution - Formal Informal | ||
|   | ExClaim | |||
| ExClaim (Electronic Exchange of Claims) | ||||
| Revised: 05/07/03 |   | Resale Select Bill Date Form (ESBA) | ||
| California ONLY | ||||
| BAN Establishment Forms | top | |||
|---|---|---|---|---|
| Revised: 05/31/24 |   | BAN Request Form - Midwest - UNE - LWC Commercial Agreement | ||
| Revised: 05/31/24 |   | BAN Request Form - Southwest - Resale | ||
| Revised: 05/31/24 |   | BAN Request Form - Southwest - UNE - LWC | ||
| Revised: 05/31/24 |   | BAN Request Form - West - Resale | ||
| Revised: 05/31/24 |   | BAN Request Form - West - UNE LWC | ||
|   | (this is not a link) Southeast Q Accounts Please Note: | |||
| all forms are required: 
 | ||||
| Revised: 04/28/16 |   | Southeast Blanket LOA | ||
| Revised: 05/31/24 |   | Southeast Master Account Application | ||
| Revised: 04/28/16 |   | Southeast Misdirected CLEC CALLS - | ||
| Revised: 05/31/24 |   | Southeast N-BAN To Establish CLLI | ||
| Revised: 05/31/24 |   | Southeast N-BAN To ADD CLLI to N-BAN | ||
| Process | top | ||
|---|---|---|---|
|   | BAN Establishment | ||
|   | Billing Adjustments and Claims | ||
|   | Electronic Funds Transfer (EFT) - All States | ||
|   | FUSF Waiver Certification | ||
| Midwest Region | top | ||
|---|---|---|---|
|   | Billing References | ||
| Southwest Region | top | ||
|---|---|---|---|
|   | Billing And Service Guides, Interconnection | ||
|   | Data Exchange Binder | ||
|   | Monthly Statement Guides | ||
| West Region | top | |||
|---|---|---|---|---|
|   | Billing References | |||
| 
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|   | Monthly Statement Guides | |||





