Skip to main content

DTC Applications and Forms

Most commonly used applications and forms by Massachusetts telecommunications and cable providers

Cable Applications and Forms

FCC regulation forms

Form 100 - License Application

Form 200 - Financial Balance Sheet

Form 300 - Statement of Revenue and Expenses    Part A - Income Statement

Form 400 - Statement of Ownership

Telecommunications Applications and Forms

3-page annual return 

1-page revenue statement for payphone providers 

Instructions for filing an annual return 

Registration to Provide Pay Telephone Services in Massachusetts

Instructions on filing registration to provide telecom services 

Statement of Business Operations Form (SBO)

Checklist for SBO filings

Certificate of Withdrawal 

Third Party Verification Service Provider Registration Application

High-Cost ETC Affidavit

Contact

Online

Consumer complaint form
Electronic filings: Email Department of Telecommunications and Cable at dtc.efiling@mass.gov
General inquiries: Email Department of Telecommunications and Cable at consumer.complaints@mass.gov

Phone

Open from 8:45 a.m.–5 p.m., M-F Call Department of Telecommunications and Cable, Open from 8:45 a.m.–5 p.m., M-F at (617) 305-3580

If you have Diversity, Affirmative Action or Equal Employment Opportunity questions or need a Reasonable Accommodation, please contact Diversity Officer Corey Pilz.

Consumer hotline: Call Department of Telecommunications and Cable, Consumer hotline: at (800) 392-6066

Open from 9 a.m.–5 p.m., M-F

Fax

(617) 988-8288

Address

One Federal Street , Suite 0740, Boston, MA 02110-2012
Directions

Related

Help Us Improve Mass.gov  with your feedback

Please do not include personal or contact information.
Feedback