Get Washington Application - Lifeline Assistance Programs - Centurylink

This guide provides a comprehensive overview of the Washington Application for Lifeline Assistance Programs through CenturyLink. Here, you will find step-by-step instructions to help you successfully complete the application online and ensure your eligibility for Lifeline benefits.

Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to obtain the application form and open it in your preferred editor.
2. Begin by filling in your telephone number or existing account number in the designated field.
3. Provide your first name, middle initial, and last name in the appropriate fields.
4. Enter the address where the service is located, ensuring you do not use a P.O. Box.
5. Indicate whether the address provided is your permanent address by selecting 'yes' or 'no'.
6. Complete the city name, state, and zip code for your service location.
7. If your billing address differs from your service address, provide that information in the corresponding fields, including city, state, and zip code.
8. Input the last four digits of your Social Security number or Tribal Identification number.
9. Provide your date of birth in the specified format.
10. If applicable, enter your DSHS case number to validate your participation in state programs.
11. Select the programs in which you or your household currently participate by checking the appropriate boxes.
12. If you are applying for Lifeline assistance based on another household member’s participation, include their name and certify their membership in your household.
13. Carefully read the important information regarding the Lifeline program and initial each certification that you understand.
14. Sign the application using your name as it appears on the first page and include the date of your signature.
15. Prepare the completed application for submission by saving your changes. You may choose to download, print, or share the form as needed.

Complete your Lifeline assistance application online today to secure your benefits.