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Get NY Application for Verizon Lifeline Service

Es more than one Lifeline benefit or another member of my household is receiving a Lifeline service. I acknowledge that I may be required to recertify my continued eligibility for Lifeline at any time and my failure to recertify will result in de-enrollment and termination of my Lifeline benefits.  I agree to participate in the certification of my continued eligibility in the Lifeline discount program.  The information contained in this application form is true and correct to the best of m.

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