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Small Network Form    Instructions 
Does your company own STPs?
Yes No

Requesting Information
*Requesting Company
*Country where service will be provided:

Contact Information
*Company
*Last Name
*First Name
*Street
 Room
*City
*State / Province
Zip Code / Postal Code
*Country
*Telephone
*Fax
*Email

Operations Center Contact Information
*Contact Name
*Telephone Number

Network Information: Specify total number
* List signaling points in Network
* List previously assigned network codes or signaling point code blocks
If none, enter none
*Number of cluster codes requested
Will the network be operational one year from this date?
Does this request result in the network having more than four network codes assigned?

There is a non-refundable ($200 US) application fee for each application processed.

The submission of this form certifies that the above information requesting a CCS code assignment is true and accurate to the best of the applicant's knowledge, and that it has been prepared in accordance with the CCS Code Administration Guidelines.


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NON-NANP SMALL NETWORK INSTRUCTIONS

This application form must be completed by any applicant wishing to secure an SS7 point code assignment and submitted to the SS7 point code administrator. The assignment will be made in conformance with the CCS Code Administration Guidelines described in ANSI T1.111.8, Normative Annex A.

NOTE: IF THE NETWORK YOU ARE REQUESTING CODES FOR DOES NOT CONTAIN AN STP (SIGNALING TRANSFER POINT), YOU MUST COMPLETE THE POINT CODE BLOCK APPLICATION.

Enter the requesting company name where indicated. Enter the area where you will be providing service. Enter all contact information where indicated. Enter the operations center contact information where indicated.

Enter the toal number of signaling points in the network. Note: the network must have STP functionality, and your projection of future codes required will be a consideration for issuing a small network code. Provide a list of existing signaling points. Provide a list of any previous point codes which have been assigned to you. Enter the number of cluster codes requested. Check whether the network will be operational within one year. Check whether the request will result in having more than four network codes assigned and, if yes, submit written justification based on the guidelines contained in ANSI T1.111.8, Annex A.*

Questions on the completion of the application may be directed to Connie Hartman on 732-699-4204 or emailed to chartman@iconectiv.com.

NOTE: TIME TO PROCESS IS WITHIN 10 BUSINESS DAYS.


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