Get Entouch Recertification Form

Completing the Entouch Recertification Form is essential for maintaining your Lifeline Program benefits. This guide provides clear, step-by-step instructions to ensure that you can effectively fill out the form online and recertify your eligibility.

Follow the steps to complete the Entouch Recertification Form

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Section 1, which requests subscriber information. Fill in your first and last name, the Lifeline supported telephone number (if applicable), and the last four digits of your Social Security Number or Tribal Identification Number. Include your date of birth and complete the address fields accurately, ensuring you use your primary residence without a P.O. Box.
3. In Section 2, indicate your eligibility for Lifeline by checking all relevant federal programs you or your household participates in or by confirming your household income is below the specified limits. Make sure to reference the income chart to verify eligibility based on your state and household size.
4. Proceed to Section 3, which consists of required certifications. Carefully read each statement before providing your initials to certify your agreement with the terms. Ensure that all details are true to the best of your knowledge.
5. Once all sections are completed and verified, save your changes. You can then choose to download, print, or share the completed form as necessary.

Recertify your Lifeline benefits online by completing the Entouch Recertification Form today.