Larimer Emergency Telephone Authority
Larimer County Colorado 9-1-1 Surcharge Collection and Remittance
Email address *
Name of Carrier *
Your answer
Contact Name *
Your answer
Contact phone number *
Your answer
Contact email *
Your answer
I have verified the surcharge records for Larimer County Colorado and confirm we are charging and remitting $.70 *
I have verified the 9-1-1 surcharge for the following communities that cross county borders and I verify we are assessing the 9-1-1 surcharge based on County not based on City / Town/ or Zip Code. Select which communities you have spot verified in your customer database. *
Please describe the procedure used to determine which Governing Body to whom you remit the 9-1-1 surcharge when the community spans the border of two counties or two Governing Authorities. *
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Larimer Emergency Telephone Authority. Report Abuse - Terms of Service