Get Wireless Lifeline Assistance Application

This guide will provide you with detailed instructions on how to successfully fill out the Wireless Lifeline Assistance Application online. By following these steps, you will ensure that your application is completed accurately and submitted in a timely manner.

Follow the steps to complete your application accurately.

1. Click ‘Get Form’ button to obtain the wireless Lifeline assistance application form, which you can access online.
2. Begin by entering your personal details in the designated fields. This includes your name, home telephone number, and contact number. Make sure to double-check for accuracy.
3. Provide your residential address, including the street number, city or town, state, and zip code. Confirm whether it is a permanent address by selecting ‘Yes’ or ‘No’.
4. Fill in your date of birth and the last four digits of your social security number. Ensure this information is correct to avoid processing delays.
5. Answer whether your address is a multiple household address by selecting ‘Yes’ or ‘No’.
6. If applicable, complete the billing address section, providing the necessary details if it is different from the residential address.
7. Indicate your program eligibility by checking all applicable assistance programs. Be aware that certain programs, like Social Security and Medicare, do not qualify alone for Lifeline.
8. If you are using income-based eligibility, do not complete this section if you have filled out the program eligibility section above. If applicable, calculate your total household income and enter it based on the household size.
9. You must authorize AB&T to contact your case worker for verification of eligibility, if applicable. Fill in your case worker’s name and provide their contact number.
10. Review all information entered on the form to ensure accuracy. Once you have confirmed every detail, sign the declaration stating that the information is true and correct.
11. After completing both sides of the application, you can save your changes, download the form, and then fax the signed application to the provided number: 877-211-3705.

Start filling out the Wireless Lifeline Assistance Application online today to ensure you receive the benefits you may be eligible for.