Get Application For Verizon Lifeline Service (delaware) (discounted Telephone Service) Please Read

Filling out the Application for Verizon Lifeline Service is a crucial step towards accessing discounted telephone services for eligible individuals and households in Delaware. This guide will provide a clear, step-by-step approach to successfully complete the application form online, ensuring you provide all required information accurately.

Follow the steps to effectively complete the application form.

1. Press the 'Get Form' button to obtain the application and open it in your preferred online document editor.
2. Begin filling out the application by entering your billing telephone number, including the area code, in the designated field.
3. Provide the billing name on your home telephone account. Ensure you include your first name, middle initial (if applicable), and last name in the respective fields.
4. Next, enter your home (physical) address. Include the house number, street name, apartment or room number (if applicable), city or town, state, and zip code.
5. Indicate whether your home address is a permanent or temporary address by selecting the appropriate checkbox.
6. If your billing address is different from your home address, fill in the billing (mailing) address information accordingly.
7. Acknowledge the eligibility criteria for participation by checking the box to certify that you or a household member meets the income-based or program-based criteria for receiving the Lifeline discount.
8. Select only one qualifying program from the list provided. This could be Medicaid, Supplemental Security Income, SNAP, among others.
9. Attach or fax a photocopy of documentation that verifies your eligibility from the selected program as stated on the form.
10. Review and mark your acknowledgment for each of the certification statements regarding household eligibility, ensuring to check each rule that applies to your situation.
11. Complete any required information related to income eligibility. Indicate the number of individuals in your household and attach necessary income documentation as indicated.
12. Fill out the required billing name information, including the last four digits of the Social Security number and the date of birth for yourself or the relevant household member.
13. If applicable, provide the details for any household member receiving benefits, including their relationship to you, Social Security number, and their date of birth.
14. Ensure to sign the application under your billing name and date it within the last 30 days for it to be considered valid.
15. Finally, submit the completed application either by faxing it to the specified number or mailing it to the Verizon Lifeline Services address provided.

Take the first step towards discounted telephone service by completing your application online today.