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FCC Form 497 April 2012 Edition LIFELINE WORKSHEET OMB Approval 30600819 Avg. Burden Est. per Respondent: 2.5 Hrs. (1) USAC Service Provider Identification Number (3) Filer 499 ID (2) Study Area Code.

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How to fill out the Usac Worksheet online

The Usac Worksheet is a crucial document for eligible telecommunications carriers seeking reimbursement for providing Lifeline services. This guide provides a step-by-step approach for accurately completing the worksheet online, ensuring that your submission meets all necessary requirements.

Follow the steps to complete the Usac Worksheet online:

  1. Click ‘Get Form’ button to access the Usac Worksheet and open it in your preferred online editor.
  2. Enter the USAC Service Provider Identification Number in the designated field.
  3. Provide the 6-digit Study Area Code for the area for which you are claiming reimbursement.
  4. Input your 499 Filer ID, which is assigned by the Commission's Data Collection Agent.
  5. Select the Technology Type by checking either the wireline or wireless option as applicable.
  6. Indicate your ETC Designation Type by checking one of the available options: Lifeline Only, Wireless, or High Cost/Low Income.
  7. Fill in the Organization Information section with your company's legal name, mailing address, and contact information.
  8. Complete the Filing Information, including the Submission Date and type of filing (original or revision).
  9. Report the number of Lifeline subscribers and the total claimed Lifeline support in the relevant fields.
  10. If applicable, enter information related to Toll Limitation Services as per the form instructions.
  11. Complete the Tribal Link Up section, if relevant, by reporting connection charges waived for eligible residents.
  12. Review all entered information for accuracy to ensure compliance with Lifeline program rules.
  13. Once all information is entered and verified, save your changes, and proceed to download, print, or share the completed Usac Worksheet.

Ensure timely reimbursement by completing your Usac Worksheet online today.

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USAC is not a federal government agency or department or a government controlled corporation as that term is defined in sections 9101-02 of Title 31 of the United States Code.

The Lifeline Household Worksheet helps to determine if more than one person in your household receives Lifeline. It asks you three questions regarding your household, and you may be required to complete and submit this worksheet in order to sign up for the Lifeline program, or complete your Annual Recertification.

Document Examples: Prior year's state, federal, or Tribal tax return. Current income statement from your employer or a paycheck stub. A Social Security statement of benefits. Veterans Administration statement of benefits. Unemployment or Worker's Compensation statement of benefits.

California LifeLine provides discounted home phone and cell phone services to qualified households. On December 31st, 2021 the Affordable Connectivity Program (ACP) replaced the Emergency Broadband Benefit (EBB). Existing EBB customers will have a 60 days to transition to ACP.

Assurance Wireless is a federal Lifeline Assistance program. Lifeline is a government assistance program. The Assurance Wireless offer provides eligible low-income customers free monthly data, unlimited texting, and free monthly minutes. Plus a free phone.

To submit copies, consumers can: Log in to the National Verifier online portal and upload their copies. Visit their participating broadband provider's store location and provide them with copies.

Lifeline also supports broadband Internet service and broadband-voice bundles. FCC rules prohibit more than one Lifeline service per household. Lifeline is available to eligible low-income consumers in every state, commonwealth, territory, and on Tribal lands.

Lifeline is a federal program that offers a monthly benefit of up to $9.25 towards phone or internet services for eligible subscribers (up to $34.25 for those living on Tribal lands).

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