Get Lifeline Enrollment And Recertification Form - Tempo Wireless

The Lifeline Enrollment And Recertification Form - Tempo Wireless is designed to help users access vital phone services at reduced rates. This guide provides a clear, step-by-step overview of how to complete the form efficiently online, ensuring users have the necessary support and information.

Follow the steps to complete your Lifeline Enrollment And Recertification Form online.

1. Press the ‘Get Form’ button to obtain the Lifeline Enrollment And Recertification Form and open it in the online editor.
2. Complete the Lifeline Enrollment Form on page 2, providing your first name, middle initial, last name, date of birth, and the last four digits of your social security number. You will also need to provide your contact telephone number.
3. Fill in your residential address, ensuring it is a street address and not a P.O. Box, as well as your billing address, which can include a P.O. Box.
4. Indicate whether your address is permanent, temporary, or part of a shared multi-household residence.
5. Certify your eligibility by checking all applicable programs (e.g., Supplemental Nutrition Assistance Program, Medicaid) and confirm your household income is at or below 135% of the Federal Poverty Guidelines.
6. Initial each certification statement to acknowledge the truthfulness of the information provided and ensure you understand the consequences of violating program rules.
7. Sign and date the application at the bottom of the form.
8. Collect your Lifeline Benefit Documentation as outlined on pages 4 and 5 of the form.
9. Submit the completed Lifeline Enrollment Form and the required documentation to Tempo. Various submission methods are available; refer to page 3 for detailed options.
10. After submission, save changes, download, print, or share the form as needed.

Complete your Lifeline Enrollment And Recertification Form online today to ensure you have access to essential phone services.