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Contact PSP Services
Required for initial PSP line request
Verizon Rapid App Profile/Verizon Rapid App for Payphone Service Provider (PSP) or
Verizon Application for Pay Phone Service (PSP)*
Blanket Agency Agreement
PSP Profile
PUC Certification (contact your local/state PUC for more information)
PAL Application (if in Idaho)
Appendix A (if in Ohio)
Nonpublic Utility Registration Form (if in Pennsylvania)
Restricted PIC Authorization (if service desired)
Tax Exemption Forms (if applicable)
Federal/State Tax Exemptions
Florida Gross Receipts
Deposit (if required)
Required for subsequent PSP line requests
Verizon Rapid App or
Verizon Application for Pay Phone Service Provider (PSP)
Deposit (if required)
Required for PSP line disconnect
Pay Phone Service Provider Request for Disconnect
Required for PSP to change ownership
Pay Phone Service Provider Request for Change of Ownership

*If you elect to force route traffic (101xxxx) on your PSP phones, please indicate "No PIC" (or NPS) on your Application for Service. If a carrier is selected, it will be entered in the switch as a 1+ provider.

Any form requiring a signature cannot be submitted electronically at this time. It may be filled out and printed locally from this internet site. After the
signature(s) is obtained, it must be faxed or mailed to:

Verizon NPCC
110 E. Monroe St.
MC: ILLLBMH
Bloomington, IL 61701
Fax: 1-800-483-4534
Phone: 1-800-483-2678
E-mail us using our electronic form.

Please keep a copy of all forms for your records.