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Wholesale Broadband Customer Profile Form

Please note that profile cannot be created without a valid State Tax ID #. Tax exemption certificates may be emailed separately to: Wholesale.Tax.Exemption@ftr.com.

Form Submission Type:

*Denotes Required Field

Requestor Information

Customer Information

Order Contact

Escalation List (To Director Level)

Level 1

Level 2 (Required if above contact is not Director level)

Level 3 (Required if above contact is not Director level)

Tax Information

Is customer claiming Federal Tax Exemption status?

Is customer claiming State Tax Exemption status?

If 'Yes' is selected for Tax Exemption status and customer elects to change selection to 'No', refresh is required to prevent order form errors.
Turnaround time for setup is 2 – 4 weeks, depending on the number of states.

Wholesale Broadband Contract:

Check the States where you will order Wholesale Advantage Broadband.

State Specific Information

Please include state specific OCNs (Note: voice CLECs must provide UNE-P state specific OCNs)

Billing Information

Billing Remittance

Provide the mailing address where your Frontier billing statements should be sent.

Billing Contact Information

Contact to address bill processing, adjustments, and payments:

Bill Media Options*

If 'Paper Bill' not checked, paper bill will be suppressed

Selecting BDT as a Bill Media Option requires a Billing Feed Connectivity Form submission.

Please access form at: https://wholesale.frontier.com/Forms/Billing-Feed-Connectivity-Form.

Method of Payments to Frontier*

Please visit https://wholesale.frontier.com/billing/payment-remittance for payment information.

Tax Exemption Contact Information

If the new wholesale billing account numbers are to be coded “exempt” from any applicable taxes and surcharges, certificate of exemption from the Federal Excise Tax and all other appropriate forms indicating exemption from state/local taxes must be provided.

All Tax Exemption Forms and any additional tax exemption information must be submitted via email to: wholesale.tax.exemption@ftr.com.

Issues related to completing the Wholesale Broadband Customer Profile Form should be directed to Frontier.Connectivity.Management@ftr.com.