Get Lifeline Program Application - Fairpoint Communications

Filling out the Lifeline Program Application with FairPoint Communications is an important step in obtaining assistance to lower your monthly telephone service charges. This guide provides step-by-step instructions to help you complete the application online efficiently.

Follow the steps to fill out your Lifeline Program Application

1. Click ‘Get Form’ button to obtain the Lifeline Program Application and open it for editing.
2. Begin by providing your customer information. Fill in your full name, including both first and last names, and enter the last four digits of your Social Security Number. Next, provide your telephone number and date of birth in the specified format (mm/dd/yyyy). Input your service address, ensuring it is your principal residence and does not include a Post Office Box.
3. If your billing address is different from your service address, fill in that information, including street, city, state, and zip code. Indicate if this is a temporary address.
4. Review the Lifeline Program requirements. Initial the box that certifies you meet the one-per-household requirement. Be aware that only one person in a household can qualify for Lifeline benefits. If necessary, answer whether multiple households reside at the same address.
5. Indicate your eligibility by checking the relevant boxes regarding program participation or household income. Ensure you provide accurate information and include the total number of people in your household.
6. Acknowledge your notification obligations by initialing each statement that affirms your understanding of these obligations concerning changes in eligibility. This includes notifying FairPoint if you no longer qualify for benefits.
7. Certify your statements by reading and initialing each certification statement. This includes your current benefit status and acknowledging that you will not transfer your Lifeline benefits.
8. Finally, sign the form to certify that all information you provided is true. Include the date of signing, and make sure you have gathered all necessary supporting documentation as outlined in the questions and answers section.
9. After completing the application, save your changes. You can then choose to download, print, or share your finished application as needed.

Complete your Lifeline Program Application online and take advantage of the assistance available to reduce your monthly phone service costs.