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Instructions for Completing TSP Request for Service Users Standard Form (SF 315)

In requesting an initial service, the following instructions should be used to complete the SF 315.

 

Item 1: Action Requested Enter "A" to request an initial TSP assignment for a service
Item 2: Date Service Required Enter month, day, and year (MM/DD/YYYY).
Item 3: Service User Service ID Enter the unique identifier used to recognize this service. This identifier can be any unique combination of letters and numbers used to identify the service in your records.
Item 4: TSP Authorization Code Leave blank.
Item 5: Service Profile The service profile defines the user's level of support to the portion of the telecommunications service that the user owns and operates, such as customer premises equipment and customer premises wiring. The service profile is used to determine the priority level a service is required to receive.
Item 6: Restoration Priority Information Complete ONLY if requesting a Restoration priority.
Item 6a: Category
  1. Determine the category under which the service qualifies for priority treatment using the table below:
  2. Enter the letter of the category (A, B, C, or D) in item 6a.
Item 6b: Criteria
  1. From the information below, identify the category that was selected in 6a.
  2. Under the category, identify the number that defines the NS/EP function the service supports
  3. Enter the number (0, 1, 2, 3, 4, 5, 6, 7, 8 or 9) in item 6b.
Item 6c: Restoration Priority Requested Read the following instructions and use the Table for Determining Priority Levels to determine the appropriate priority level. Enter this item in 6c.
  1. Identify the category you listed in Item 6a.
  2. Identify all the service profile elements that you listed in Item 5.
  3. Identify the priority level that corresponds to the category and service profile elements you identified in items 6a and 5, respectively. Note that you must satisfy all service profile elements identified for a corresponding priority level to qualify for that priority level.
  4. Enter that priority level (5, 4, 3, 2, or 1) or a lower priority level in Item 6c. If your service does not meet all the elements/details for a given priority level, but, nevertheless, you consider that a higher priority level is warranted, enter that priority level in Item 6c and provide your justification in Item 8.
Item 6d: Prime Vendor (Company Name) Enter the name of the prime service vendor authorized to provide the TSP service.
Item 7: Provisioning Priority Information
Complete ONLY if requesting a Provisioning priority.
Item 7a: Provisioning Priority Information
  1. Determine the category under which the service qualifies for priority treatment using the table below:
  2. Enter the letter of the category (A, B, C, D, or E) in Item 7a.
Item 7b: Provisioning Criteria
  1. From the information below, identify the category that was selected in 7a.
  2. Under the category, identify the number that defines the NS/EP function the service supports. If this is an Emergency service, identify the appropriate number from the criteria listed under Category E.
  3. Enter the number (0, 1, 2, 3, 4, 5, 6, 7, 8 or 9) in item 7b.

Item 7c: Provisioning Priority Requested: Enter the appropriate provisioning priority level based on the chart below
and instructions to the right.

For an emergency provisioning request, enter "E" in Item 7c. (Note: To qualify under the Emergency NS/EP category, the service must support service profile elements A3 and B2.) For Essential provisionings, read the following instructions and use the Table for Determining Priority Levels to determine the appropriate priority level to enter in Item 7c.
  1. Identify the category you listed in Item 7a.
  2. Identify the service profile elements that you listed in Item 5.
  3. Identify the priority level that corresponds to the category and service profile elements you identified in Items 7a and 5, respectively. Note that you must satisfy all service profile elements identified for a corresponding priority level to qualify for that priority level.
  4. Enter the priority level (5, 4, 3, 2, or 1) in Item 7c. If your service does not meet all the elements/ details for a given priority level, but, nevertheless, you consider that a higher priority level is warranted, enter that priority level in Item 7c and provide your justification in Item 8.
Item 7d and 7e: Invocation Official's Name and
Title
Enter the invocation official's name and title. This information must be on file with the OPT or the provisioning priority cannot be assigned.
Item 7f: Telephone Number Enter the commercial telephone number of the invocation official.
Item 7g: Has the invocation official authorized this action? Enter Y (yes) or N (no).
Item 7h: Service Locations Enter the specific street address, including building, floor, room number, etc. and provide a POC name and telephone number for each end service location.
Item 7i: Prime Vendor POC for Provisioning Enter the name and telephone number and company of the prime vendor point of contact.
Item 8: Supplemental Information Provide: (1) circuit specification(s) for provisioning priority only; (2) justification for requested priority level if higher than qualified for; or (3) sponsor justification for priority level change in Item 12e, Recommended Disposition.
Item 9: Service User

An entry other than "A" requires Federal Government sponsorship (see Item 12).
Enter "A" if the service is for any Federal government organization.
Enter "B" for any State government organization.
Enter "C" for any county, city, town, or other local government organization.
Enter "D" for any private sector organization or private U.S. citizen.
Enter "E" for any foreign government or foreign government organization.
Enter "F" for other.
Enter "G" for U.S. military.
Item 10: Service User Organization (Department/Agency and/or FIPS Code) Federal agencies should enter the appropriate four-digit code for their organization, as indicated in Federal Information Processing Standard (FIPS) Publication 95. All others should enter the organization name and the name of the State (e.g., Nelson County Hospital, Minnesota).
Item 11: Service User Point of Contact Enter information regarding the person or office who is responsible for this service and can provide information about this service.
Item 11a: Name and Title Enter the service user point of contact name and title.
Item 11b: Organization (Department/Agency and/or FIPS Code) Same as Item 10.
Item 11c - 11e: Mailing Address, Telephone Number and Facsimile Number Enter complete mailing address and phone and fax numbers.
Item 11f: 24-Hour Telephone Number Enter a telephone number at which the point of contact is reachable 24-hours a day.
Item 11g: E-mail Address Enter E-mail address if applicable.
Item 11h: Signature and Date The form must be signed and dated or it will be returned unprocessed. By signing the form, the requestor confirms the service is an NS/EP service.

FORM SUBMISSION INFORMATION

Item 12: Supplemental Information Non-Federal Government requestors should complete Items 1 through 11 on the form and send it to the Federal Agency that has agreed to sponsor the request. Contact the TSP Program Office for sponsor information. Federal sponsors must complete the following information:
Item 12a: Federal Sponsoring Agency and FIPS Code Enter the appropriate four-digit code as indicated in FIPS Pub 95 in Item 12a.
Item 12b: Sponsor Name Enter the name of the sponsor.
Item 12c: Sponsor Title Enter the title of the Sponsor.
Item 12d: Sponsor Telephone Number Enter the telephone number of the Sponsor.
Item 12e: Recommended Disposition Indicate recommended disposition of this request (approve, disapprove, or approve with priority level change) in item 12e. If the recommendation is to disapprove the request, the sponsor is to return the form to to the service user POC, along with an explanation of disapproval in Item 8. If the recommendation is to approve the request with a priority level change, the sponsor is to send the form to the OPT, along with a justification for the priority level change in Item 8.
Item 12f: Sponsor Signature and Date Sponsored requests must be signed by a Federal Sponsoring Official. By signing this form, the sponsoring official is confirming that the service is an NS/EP service.

FORM SUBMISSION INFORMATION FOR SPONSORS: Sponsors should submit approved request forms to the TSP Program Office for processing. Send forms to the address listed on the form, or via facsimile or email. Do not forward this form to the TSP Program Office if the recommendation is to disapprove the request.

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