MONTHS TO EXHAUST CERTIFICATION WORKSHEET

(Worksheet to be used for Requests for Additional Codes for Growth)

Date: _____________

Company Name: __________________________________

Switching Entity/Point of Interconnection (CLLI): __________________________________

NPA: ______ NXX-Xs included in growth calculation: ______________________________

Signature of Authorized Representative of Block Applicant: ___________________________

Title: _________________________ Telephone No.: _________________ FAX No.: _________________

A. Telephone Numbers (TNs) Available for Assignment (See Glossary): _________

Month #1 Month #2 Month #3 Month #4 Month #5 Month #6

B. Previous 6-month growth history: _______ _______ _______ _______ _______ _______

C. Projected growth - Months 1-3: _______ _______ _______

D. Average Monthly Growth Rate (From Part C above): _________

E. Months to Exhaust = Telephone Numbers (TNs) Available for Assignment (A) = _______________

Average Monthly Growth Rate (D)

Explanation:

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