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Regulated Collocation Termination Request Form

*Denotes Required Field

Type of Termination Requested*

Have all working services been disconnected from the existing Collocation Equipment being terminated? *

All services must be disconnected prior to Termination Request submission.

Please try again after all working services have been disconnected from the existing Collocation Equipment.

Is Equipment still in place?

Is Equipment powered?

Provide method used to establish Collocation arrangement being terminated *

Third Party Lease via CATT Details

Pulled in Fiber via CO Manhole Details

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Requestor Information

Wholesale Customer Information

Customer Primary Collocation Contact

Customer Primary Billing Contact

Who should receive any pre-completion invoice(s)?

Portion of Collocation being Terminated *

Type of Collocation *

Space Details

Space Details

Maximum 20 Bays/Relay Racks per Form

Technical Specifications for Equipment to be Removed

Bay 1

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 2

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 3

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 4

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 5

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 6

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 7

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 8

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 9

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 10

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 11

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 12

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 13

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 14

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 15

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 16

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 17

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 18

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 19

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Bay 20

List any additional equipment to be removed from this bay, including: Quantity / Manufacturer or Model Number / Equipment Type.

Maximum 10 Power Configurations per Form

Power Configuration 1

Power Configuration 2

Power Configuration 3

Power Configuration 4

Power Configuration 5

Power Configuration 6

Power Configuration 7

Power Configuration 8

Power Configuration 9

Power Configuration 10

What type of CFA is to be returned? *

Connecting Facility Assignment (CFA)

Which services are being terminated?

DS1 Inventory

DS3 Inventory

Fiber Inventory

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 2

DS3 Inventory Section 2

Fiber Inventory Section 2

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 2

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 3

DS3 Inventory Section 3

Fiber Inventory Section 3

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 3

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 4

DS3 Inventory Section 4

Fiber Inventory Section 4

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 4

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 5

DS3 Inventory Section 5

Fiber Inventory Section 5

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 5

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 6

DS3 Inventory Section 6

Fiber Inventory Section 6

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 6

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 7

DS3 Inventory Section 7

Fiber Inventory Section 7

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 7

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 8

DS3 Inventory Section 8

Fiber Inventory Section 8

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 8

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 9

DS3 Inventory Section 9

Fiber Inventory Section 9

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 9

Do you have additional DS1/DS3/Fiber services to terminate on this request?

DS1 Inventory Section 10

DS3 Inventory Section 10

Fiber Inventory Section 10

Common area POT Bay / DSX/OSX / CLEC’s Equipment Location (DS1/DS3/Fiber) Section 10

Voice Grade 2W/4W Inventory

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W)

EPA/ICP (VG 2W/4W)

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 2

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 2

EPA/ICP (VG 2W/4W) Section 2

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 3

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 3

EPA/ICP (VG 2W/4W) Section 3

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 4

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 4

EPA/ICP (VG 2W/4W) Section 4

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 5

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 5

EPA/ICP (VG 2W/4W) Section 5

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 6

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 6

EPA/ICP (VG 2W/4W) Section 6

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 7

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 7

EPA/ICP (VG 2W/4W) Section 7

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 8

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 8

EPA/ICP (VG 2W/4W) Section 8

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 9

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 9

EPA/ICP (VG 2W/4W) Section 9

Do you have additional VG 2W/4W services to terminate on this request?

Voice Grade 2W/4W Inventory Section 10

Common Area POT Bay or CLEC’s Equipment Location (VG 2W/4W) Section 10

EPA/ICP (VG 2W/4W) Section 10

Line Sharing Details

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 2

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 3

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 4

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 5

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 6

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 7

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 8

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 9

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Do you have additional Line Sharing services to terminate on this request?

Line Sharing Details Section 10

Line Sharing Option (A or C) *
Circuit Type Option *

POT Bay/Panel or CLEC's Equipment Location (Virtual)

Splitter CFA (for Line Sharing)

Please provide explanation of termination request.