Form Pl 1 PDF Details

The PL-1 form serves as a critical document for entities looking to secure a non-exclusive license to attach communication facilities to AT&T poles, a step necessary for many companies operating in the telecommunications field. This application process, outlined within the form, requires detailed information from the applicant, including licensee tracking numbers, contact information, and specifics about the poles and attachment locations desired. Crucially, the form initiates a multi-step approval process that begins with the licensee's submission post pre-license surveys and make-ready work approvals, emphasizing the need for thorough preparation and clear communication regarding the intended work. A successful application not only hinges on the accurate completion of this form but also on resolving any make-ready work issues, as delineated in connected AT&T documents. Upon submission, AT&T's review and approval process kicks in, with the potential for approval, revisions, or denial based on the completeness of make-ready work and the adherence to outlined specifications. This document delineates the pathway for attachment licensing but also underscores the collaborative and sometimes complex nature of preparing for and securing the space on AT&T poles, pivotal for expanding or maintaining telecommunication networks.

QuestionAnswer
Form NameForm Pl 1
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform pl pole printable, texas pl1 form to download, at t access application pdf, access from at t application pdf

Form Preview Example

Form PL-1 1 of 1

1. Licensee Tracking No.

APPLICATION AND POLE ATTACHMENT

LICENSE

2. AT&T Tracking (SAM) No.

3.

Date Submitted:

4. License Agreement No.:

5.

Authorized Licensee Representative:

 

 

 

 

 

 

 

 

6.

Company Making Application:

 

7.

Telephone:

 

 

 

 

8.

Fax:

 

9.

Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

10.

City:

 

11.

State:

 

12. Zip:

 

 

 

 

 

 

 

In accordance with the terms and conditions of the License Agreement between us, application is hereby made for a non-exclusive license to attach communication facilities to AT&T poles as indicated below. This request will be designated:

13. Licensee POLE ATTACHMENT (P.A.) Application No. P.A.:

(1)

Number Requested

14. Poles

 

15. Anchors

16.Approximate location (city/district):

STEP 1 - Licensee Submittal

Licensee to submit after appropriate forms regarding pre-license surveys, make-ready requests, etc., have been approved. Make-ready work must be completed and notification received prior to application approval.

17.

Licensee has resolved all issues regarding make-ready work as detailed on Form GN-4; if any disputes were encountered, Form NT-3 has been submitted and resolution of disputes has been agreed upon.

18. Licensee Representative:

19. Title

20. Telephone:

21. Fax:

Upon approval of application by AT&T and prior to facility placement by Licensee, Licensee must submit Form NT-1 informing AT&T of proposed facility placement schedule.

STEP 2 - AT&T Approval

22.

Date application received:

 

24.

Approved By (name printed):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Pole Attachment Application is hereby (upon completion of

25.

Signature:

 

 

 

 

 

 

 

 

make-ready work, if required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved, with revisions (see below)

 

26.

Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Denied (If denied, provide written explanation of denial.)

27. Date Approved:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IDEAL Input Requirements (for billing purposes):

 

 

 

Date input into IDEAL:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telco Ref # (from IDEAL Input): PA

NPA:

 

 

 

NXX:

 

 

Area (Wire Center):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28.

Local AT&T Contact:

 

 

 

29. Telephone:

 

30. Fax:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revisions

 

31. Poles Licensee

 

32. Poles BST

 

 

33. Anchors Licensee

 

34. Anchors BST

 

 

 

requested:

 

Approved:

 

 

 

 

requested:

 

Approved:

 

 

 

 

 

 

 

 

 

 

 

 

35.Comments:

(1)Individual applications to be numbered in sequential ascending order by Licensee for each License Agreement. Licensor will process applications in sequential ascending order according to the application numbers assigned by the Licensee.

11/3/99

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In an effort to finalize this PDF document, make certain you enter the required information in every blank field:

1. The at t access application form will require specific information to be entered. Make certain the next blank fields are completed:

How one can fill in texas pl1 form to download step 1

2. After filling out the last part, head on to the next step and fill out all required particulars in these blanks - Licensee has resolved all issues, Licensee Representative Telephone, Title Fax, Upon approval of application by, Date application received, Approved By name printed, STEP ATT Approval, Pole Attachment Application is, Signature, makeready work if required, Approved, Approved with revisions see below, Title, Date Approved, and IDEAL Input Requirements for.

Step no. 2 of filling in texas pl1 form to download

A lot of people generally get some points wrong when filling in IDEAL Input Requirements for in this area. You should definitely re-examine everything you enter right here.

3. Completing Local ATT Contact, Telephone, Fax, Poles Licensee requested, Poles BST Approved, Anchors Licensee requested, Anchors BST Approved, Revisions, Comments, Individual applications to be, and process applications in sequential is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Poles Licensee requested, Fax, and Individual applications to be in texas pl1 form to download

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