Get Verizon Application Form

Filling out the Verizon Application Form for Lifeline Service can be straightforward with the right guidance. This guide will provide clear, step-by-step instructions to help users complete the form online efficiently, ensuring all necessary details are included for eligibility consideration.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to download the application form and open it in your preferred document editor.
2. Begin filling out the form by entering your billing telephone number, including the area code, in the designated field.
3. In the billing name section, clearly print your first name, last name, and middle initial if applicable.
4. Provide your home address by entering the house number, street name, apartment number (if applicable), city or town, state, and zip code.
5. Indicate whether your home address is permanent or temporary by selecting the appropriate checkbox.
6. If your billing address differs from your home address, fill out the respective fields for the billing address, including all necessary details.
7. In the program participation and certification section, indicate if you or a member of your household meet the eligibility criteria by checking the appropriate program you participate in.
8. Provide any required documentation, either by attaching copies or faxing them, to prove program participation.
9. Complete the required information by entering the last four digits of your Social Security Number and your date of birth, ensuring accuracy.
10. Certify your understanding of the Lifeline program rules by checking the required boxes and signing your name to acknowledge your agreement.
11. Finally, save your changes, and you can download, print, or share the completed form as needed. Ensure it is signed before submission.

Complete your application for Verizon Lifeline Service online now to ensure you receive your benefits.