Follow the steps to successfully complete your Lifeline service application.

1. Press the ‘Get Form’ button to access the Lifewireless Com form and open it in your preferred editor.
2. Read the important disclosures about the Lifeline service program to ensure you understand the eligibility requirements.
3. In the customer eligibility certification section, select the program you participate in by checking one of the options listed.
4. Complete the customer application information section by entering your first name, middle name, last name, date of birth, and the last four digits of your Social Security number or Tribal ID number.
5. If qualifying for Lifeline by income, indicate the number of individuals in your household.
6. Fill in your home telephone number if available, and complete your residential address, ensuring it is not a P.O. Box.
7. Choose between 'Permanent' or 'Temporary' to indicate your residential status.
8. If your billing address differs from your residential address, complete that section as well.
9. Review the activation and usage requirement disclosures and certify that you have read and understood these requirements.
10. Sign the authorization section to allow the company to access required records for verifying your application.
11. Complete the additional certifications by checking the appropriate boxes to confirm your eligibility criteria.
12. Finally, sign and date the application to certify the information provided is accurate.
13. After completing the form, save your changes, then download, print, or share the form as necessary.

Complete your Lifewireless Lifeline service application online today!