Get Lifeline Application - Midcontinent Communications

The Lifeline Application allows eligible users to receive assistance with their Midcontinent Broadband bill, making internet access more affordable. This guide provides clear instructions to help you successfully complete the application online.

Follow the steps to fill out the Lifeline Application online.

1. Press the ‘Get Form’ button to access the Lifeline Application - Midcontinent Communications form and open it in the editor.
2. Begin filling in your personal information, including your last name, first name, and middle initial.
3. Provide your residential address, including street address, city, state, and zip code. If your billing address differs, fill in that information as well.
4. Indicate whether your residence is permanent or temporary by checking the appropriate box. If temporary, be aware that verification is required every 90 days.
5. Complete the section regarding Tribal Land residency by checking the applicable box.
6. Fill in your date of birth and the last four digits of your Social Security number.
7. Enter your telephone number for contact purposes.
8. State the number of people living in your household.
9. In the qualifications section, check all applicable benefits programs you are currently participating in or indicate if your income is at or below 135% of the Federal Poverty Guideline.
10. Attach the required proof of eligibility, which may include documentation from the benefits programs or a tax return and additional income proof, based on your situation.
11. Acknowledge the agreement statement by signing and dating the form. If applicable, provide the printed name and phone number of an authorized representative.
12. Finally, ensure that all required documents are attached, and mail the completed form to Midcontinent Communications at the provided address. You may also save changes, download, or print a copy for your records.

Complete your Lifeline Application online today to access affordable broadband services.