Get Horry Telephone Cooperative (htc) Lifeline Initial Enrollment Form - Htcinc

This guide provides a clear and supportive approach to filling out the Horry Telephone Cooperative Lifeline Initial Enrollment Form online. By following these instructions, users can ensure that their application is completed accurately and efficiently.

Follow the steps to complete the application successfully.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by entering your personal details in the applicant name field. This should include your full name as it appears on your identification documents.
3. Provide a valid phone number where you can be contacted. Ensure the number is accurate to receive important communications regarding your application.
4. Enter your email address. This will be used for any electronic communications regarding your application status.
5. Fill in the last four digits of your Social Security Number (SSN). This information is necessary for verification purposes.
6. Indicate your date of birth, ensuring it is formatted correctly. This confirms your eligibility based on age requirements.
7. Provide your home address, including street, apartment number (if applicable), city, state, and zip code. This information is crucial for service provision.
8. Answer whether your home address is permanent by checking either 'Yes' or 'No'. Your living situation can affect eligibility.
9. If you have a billing address that differs from your home address, provide that information in the relevant fields.
10. If someone other than yourself is eligible for Lifeline, list their name and specify your relationship to this person.
11. To grant HTC permission to confirm your Lifeline benefit status, initial the respective box.
12. Check the appropriate statements that apply regarding your household's assistance programs or total household income. Provide proof of eligibility if required.
13. Initial each certification box to confirm the accuracy of your statements related to only receiving one Lifeline-supported service.
14. Carefully read the notification requirements and initial to confirm you understand them.
15. Sign and date the form at the bottom to certify that all the information provided is true to the best of your knowledge.
16. After completing the form, save your changes. You can download, print, or share the finalized form as needed.

Complete your Horry Telephone Cooperative Lifeline Initial Enrollment Form online today to access your benefits easily.