Get Colorado Application - Lifeline Assistance Programs - Centurylink

Filling out the Colorado Application for Lifeline Assistance Programs through CenturyLink can be straightforward when you know what to expect. This guide provides clear instructions to help users complete the application accurately and efficiently.

Follow the steps to complete your application successfully.

1. Use the ‘Get Form’ button to access the application form and open it in your preferred digital editing tool.
2. Begin by filling in your telephone number or existing account number in the designated field. Be sure to check that this information is accurate to avoid any issues.
3. Enter your first name and last name in the appropriate fields, ensuring no initials are included.
4. Provide the address where the service is located, avoiding PO Boxes. Then, fill in the city, state, and zip code.
5. If your address is temporary, indicate this by checking the corresponding box.
6. If your billing address is different from the service address, fill in the billing address details, including city, state, and zip code.
7. Input the last four digits of your Social Security Number or your Tribal Identification Number in the designated field.
8. Enter your date of birth. This information is crucial for eligibility verification.
9. Select the programs for which you or a member of your household currently participates. Attach proof of eligibility documentation as needed.
10. If applicable, provide the name of the program participant from your household and affirm their membership in your household by initialing the statement provided.
11. Review the income guidelines and indicate if your total yearly household income meets the specified limits. Include the number of household members if greater than five.
12. Read the important information about the Lifeline program thoroughly to understand the regulations and your responsibilities as an applicant.
13. Complete all certifications by checking each required box to ensure your application is eligible for processing.
14. Sign and date the application form in the designated area. Ensure that the signature is from the CenturyLink account holder.
15. After completing the application, submit your form and any required supporting documents by mailing or faxing them to the specified address.
16. Finally, save your changes, and consider downloading or printing a copy for your records.

Complete your application online today to benefit from Lifeline Assistance Programs.