HOW TO COMPLETE AN FCC REMITTANCE ADVICE, FORM 159

To retrieve a blank FCC Remittance Advice, Form 159.
Do not follow the instructions on the back of the form 159 if you already have a grantee code. Follow the steps below instead. If you do not have a grantee code use the instructions on the form 159. Complete ALL required information.

Item (1) LOCKBOX # - Enter 979095

Item (3) Enter total amount due.

Section A Complete PAYER INFORMATION

Item 11 Enter PAYER FRN*

Item 12 Leave blank FRN replaces TIN

Section B If PAYER and APPLICANT are different entities, complete Section B APPLICANT INFORMATION - in addition to Section A

Item 21 If PAYER and APPLICANT are different entities, enter APPLICANT FRN*

Section C Refer to Page B11 and complete Items 24A; 26A; 27A

Item 28A and Item 29A:

If submitting payment for just the assignment of Grantee Code (Page B3), enter the grantee code (i.e., XYZ) into Item 28A, and enter the grantee code preceded by 13EA into Item 29A (i.e., 13EAXYZ)

If submitting payment for just an Application for Equipment Authorization, FCC Form 731 (Page B4), enter the FCC ID into Item 28A, and enter the Form 731 Confirmation Number (EA#) preceded by 13 into Item 29A (i.e., 13EA123456)

If submitting payment for combination of a Grantee Code assignment and Application for Equipment Authorization, FCC Form 731 (Page B5), enter the FCC ID into Item 28A, and enter the Form 731 Confirmation Number (EA#) preceded by 13 into Item 29A (i.e., 13EA123456)

Items 24B; 26B; 27B; 28B; 29B If additional procedures are being requested (i.e. Confidentiality), complete these Items

* All entities doing business with the FCC MUST have an FCC Registration Number (FRN). To obtain an FRN, visit https://svartifoss2.fcc.gov/cores/CoresHome.html. The FRN for the PAYER must be provided in Item 11 of the FCC Remittance Advice, Form 159. If the PAYER and APPLICANT are different entities, the FRN for the APPLICANT (Item 21) must also be provided.

MAILING INSTRUCTIONS FOR PAYMENT SUBMITTAL

SEND ONLY THE FCC REMITTANCE ADVICE, FORM 159 (AND A CHECK, IF PAYING BY CHECK). DO NOT SUBMIT ANY OTHER CORRESPONDENCE AND/OR PAPERWORK.

If paying with a check or money order, send JUST the check or money order along with the completed FCC Remittance Advice, Form 159 to U.S. Bank. Do not send any other paperwork or correspondence.

If paying by credit card (not online *), send JUST the completed FCC Remittance Advice, Form 159 to U.S. Bank. Complete, sign, and date Section E-Credit Card Payment Information, in addition to all other pertinent items. Do not send any other paperwork or correspondence.

Place either of the above payments into an envelope addressed to:

Address 1 on line above first address

Federal Communications Commission
Equipment Approval Services
Post Office Box 979095
St. Louis, MO 63197-9000

(Post Office Box 979095 in the above mailing address corresponds with Item (1) LOCKBOX # on FCC Form 159, and notifies U.S. Bank that the payment is being submitted for an Equipment Authorization Application, FCC Form 731, and/or related filings)

If payment is being mailed, mail to above address (Address 1).

To hand-deliver or to submit payment via courier service (i.e., DHL, FedEx, UPS, etc.), the envelope addressed to above should be placed into an outer envelope addressed to Address 1:

Address 2 on line above first address

Federal Communications Commission
c/o U.S. Bank Government Lockbox 979095
SL-MO-C2-GL
1005 Convention Plaza
St. Louis, MO 63101

(Attention: FCC Government Lockbox) on line below St. Louis, MO of second address.)

It is suggested that the delivery service tracking number be retained for future reference.

* For an online credit card payment the FCC Remittance Advice, Form 159, should not be sent to U.S. Bank.