Get Application For Verizon Lifeline Service

This guide provides a clear and supportive walkthrough for completing the Application for Verizon LifeLine Service online. By following these instructions, you can ensure your application is filled out correctly and submitted efficiently.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application form and open it in your chosen editor.
2. Begin by entering your name in the designated fields. Make sure to provide your last name, first name, and middle initial correctly.
3. Fill in your home address, including the number, street, apartment number if applicable, city or town, state, and zip code.
4. Indicate the type of LifeLine service you are requesting by checking only one option: 'Flat Rate' or 'Basic.' Be aware that not all services are available in every area.
5. Provide your home telephone number in the specified format, including the area code.
6. Enter a secondary telephone number where you can be reached for service arrangements, ensuring this number is also in the correct format.
7. Input your Social Security Number and your benefit card ID Number. Ensure these details are accurate for smooth processing.
8. Select the assistance program you are receiving by checking one option only from the list provided. Make sure to have the necessary documentation ready to attach.
9. If applicable, attach a photocopy of your benefit card or approval notice, as required for your selected assistance program. Remember, do not send original documents.
10. For users who are income eligible but not currently receiving benefits, attach an agency letter or have a LifeLine Agent or Verizon Manager stamp here with their signature.
11. Carefully read and sign the certification statement, verifying all the information provided is correct. Include your signature and the date.
12. Finally, review your application to ensure all fields are completed correctly before mailing it along with the required proof of eligibility to the specified address.

Start your application for Verizon LifeLine Service online now and ensure you receive the support you need.