Get Multi Win Lifeline Application.doc

Filling out the Multi WIN Lifeline Application online is a straightforward process that allows eligible individuals to apply for assistance with their telephone service. This guide will provide you with step-by-step instructions to ensure that your application is completed accurately and efficiently.

Follow the steps to complete your application successfully

1. Click the ‘Get Form’ button to obtain the application form and open it in the document editor.
2. In Section A, input your applicant information. Fill out your last name, first name, middle initial, current home telephone number, and complete your residence street address. Additionally, indicate if your address is permanent or temporary, and provide your city, state, and zip code. Don’t forget to include your date of birth and the last four digits of your Social Security number.
3. If you are applying based on program participation, navigate to Section B. Mark an ‘X’ next to each relevant program in which you participate, and ensure you have copies of any necessary supporting documentation ready to submit.
4. If you are not applying based on program participation, proceed to Section C to qualify based on your household income. Refer to the income chart provided and ensure your household income does not exceed the specified limitations. Gather and prepare proof of your income as well.
5. If applicable, complete Section D by providing information about any additional members in your household who are not dependents. Fill in their name, relationship to you, and include their income proof.
6. Finally, read through the program rules in Section E carefully. You will need to certify your eligibility by checking each statement and signing the application. Make sure to enter the date of your signature.
7. Once you have reviewed all sections, save your changes in the document. You can then download or print the completed form, or share it via email as needed.

Complete your Multi WIN Lifeline Application online today to access potential savings on your phone service!