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. *
Required
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.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Larimer Emergency Telephone Authority. Report Abuse - Terms of Service