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TITLE 83: PUBLIC UTILITIES
CHAPTER IV: ILLINOIS STATE POLICE PART 1329 ADMINISTRATION OF THE STATEWIDE 9-1-1 FUND SECTION 1329.APPENDIX B FORMAT OF CARRIER REMITTANCE TRANSMITTAL
Section 1329.APPENDIX B Format of Carrier Remittance Transmittal
WIRELINE / VoIP CARRIER REMITTANCE FORM FOR ILLINOIS 9-1-1 SURCHARGE CARRIER NAME CARRIER FEIN
CITY/ST/ZIP CONTACT NAME CONTACT PHONE # CHECK NUMBER CHECK DATE
REMITTANCE BREAKDOWN: REMIT MONTH / YEAR
Service Type Number Connections Amount Remitted
Interconnected VoIP $ - Less 3% Admin if withheld (Wireline and VoIP only) 3% $ -
* If remitting multiple months, please attach remittance detail by month on a separate page.
- The surcharge rate is $0.87 per connection, per month, for connections located outside of the City of Chicago; see section 20 of the Emergency Telephone System Act. - Pre-paid wireless surcharge should be remitted to the Department of Revenue. Contact them, or visit http://www.tax.illinois.gov for further information.
Send Check and remittance form to: Illinois State Police 911 Administrative Support Command 911 Surcharge 801 South 7th Street Springfield IL 62703
POST-PAID WIRELESS CARRIER REMITTANCE FORM FOR ILLINOIS 9-1-1 SURCHARGE CARRIER NAME CARRIER FEIN
CITY/ST/ZIP CONTACT NAME CONTACT PHONE # CHECK NUMBER CHECK DATE
REMITTANCE BREAKDOWN: - The surcharge rate is $0.87 per connection, per month, for connections located outside of the City of Chicago; see section 20 of the Emergency Telephone System Act. - Post-paid wireless carriers must also email corresponding subscriber file to: 911_Admin_Support@isp.state.il.us. Noncompliance will result in penalties. - Per statute, wireless carriers cannot withhold 3% for admin until July 1, 2022. - Pre-paid wireless surcharge should be remitted to the Department of Revenue. Contact them, or visit http://www.tax.illinois.gov for further information. Send Check and remittance form to: Illinois State Police 911 Administrative Support Command 911 Surcharge 801 South 7th Street Springfield IL 62703 |