Get Assurance Wireless Application Printable

The Assurance Wireless Application Printable is a vital document for individuals seeking Lifeline service. This guide will provide you with clear instructions on how to accurately complete this application to ensure a smooth process.

Follow the steps to successfully complete your Assurance Wireless Application.

1. Press the ‘Get Form’ button to access the Assurance Wireless Application Printable and open it in your preferred editing tool.
2. Begin filling out Section 1, which requires your personal details. Ensure that the information provided matches the applicant for the Lifeline service. You will need to include your first name, last name, email (if applicable), date of birth, the last four digits of your Social Security number, and your home address including city, state, and zip code.
3. In Section 2, indicate your eligibility by selecting either program-based or income-based criteria. If you choose program-based eligibility, check the applicable programs you or household members participate in. If opting for income-based eligibility, provide your household size and yearly income by selecting the appropriate ranges indicated.
4. Continue to Section 3 where you will create your account PIN and secret answer for future account access. Ensure that your PIN adheres to the specified requirements.
5. In Section 4, read the statements carefully and check the boxes to certify your understanding and agreement. Your application cannot be completed without marking all three required confirmations.
6. Finally, sign and date the application at the designated area. Ensure that you have filled in all necessary fields and double-check for accuracy before submission.

Complete your Assurance Wireless Application Printable online today to take advantage of the Lifeline service.