Get Missouri Application For The Lifeline Program - Windstream

The Missouri Application for the Lifeline Program allows eligible users to access discounted voice telephony services. This guide provides clear, step-by-step instructions on how to complete the application online to ensure you can effectively submit your request for assistance.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the application form and open it in your preferred online editor.
2. Enter your full name in the designated field at the top of the form.
3. Provide your birth date in the specified format to verify your age.
4. If your voice service account name is different from your name, fill in the name on the voice service account.
5. Complete your full residential service address, ensuring no P.O. Boxes are included.
6. Enter the last four digits of your Social Security number for identification.
7. Fill in your customer contact telephone number to ensure Windstream can reach you.
8. Indicate whether your address is temporary by circling ‘Yes’ or ‘No’. If ‘Yes’, be prepared to verify your address every 90 days.
9. Provide your city, town, and zip code in the required fields.
10. Specify if this address is also your billing address by marking ‘Yes’ or ‘No’. If ‘No’, please provide the billing address.
11. If you currently receive Lifeline credit with another provider, select 'Yes' or 'No'. If 'Yes', authorize Windstream to transfer your benefit.
12. Read and understand the obligations and provisions about the Lifeline program, confirming your understanding by checking the relevant boxes.
13. Certify under penalty of perjury that all your information is correct and that you meet the eligibility criteria.
14. Sign and date the form at the bottom, acknowledging that you have provided accurate information.
15. Submit the completed application along with the proof of eligibility documents, either via mail, fax, or email as indicated.

Complete your application online today to take advantage of the Lifeline program benefits.