Get Wyoming Application Form - Lifeline ... - Centurylink

Filling out the Wyoming application form for the Lifeline assistance program is essential for those seeking telecom support. This guide provides step-by-step instructions for accurately completing the form and ensuring you meet eligibility requirements.

Follow the steps to complete your application effectively.

1. Click ‘Get Form’ button to access the Lifeline application form and open it for completion.
2. Begin by entering your first name, last name, telephone number, and existing account number in the designated fields. Ensure all information is accurate for processing.
3. Provide your residential address, including the city, state, and zip code. It is important that this address corresponds to your primary place of residence.
4. Fill in your Social Security number and date of birth accurately. This information is required to verify your identity and eligibility.
5. Indicate your participation in any relevant assistance programs by checking the appropriate boxes and attaching necessary documentation. Valid programs include LIHEAP, Medicaid, SNAP, among others.
6. Review the certification statement carefully. By signing, you affirm that all information provided is true and understand the limitations and requirements regarding Lifeline discounts.
7. Sign and date the application form where indicated. Ensure that it is your signature as the account holder.
8. Prepare to submit the completed form. You can either mail it to CenturyLink Data Services or fax it to the designated number. Remember that original documents are not returned.
9. After submission, retain a copy of the completed application and any supporting documents for your records. It is advisable to follow up to confirm receipt and processing of your application.

Complete your application online today to receive Lifeline assistance and ensure you have the support you need.