Get Lifeline Discount Program

The Lifeline Discount Program provides essential telecommunications support to eligible households. This guide offers clear, step-by-step instructions on how to fill out the Lifeline Discount Program form online, ensuring a smooth application process.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide your applicant information. Fill in your first name, middle initial, and last name. Ensure to include your service address, city, state, and zip code. If your address is temporary, check the appropriate box.
3. Enter your contact details, including your telephone number and, if applicable, your billing address.
4. Read through the important disclosures and acknowledge your understanding by initialing where required. This step ensures you recognize the one-per-household rule and the implications of providing false information.
5. In Step 1, confirm your status as a current AT&T Internet customer on a qualifying plan. If eligible, proceed to Step 2 and initial to consent to transferring any Lifeline benefit.
6. Complete Step 3 by providing the required consent and your details for the National Lifeline Accountability Database.
7. In Step 4, indicate your eligibility by choosing between program-based and income-based qualifications. Fill out all applicable sections.
8. Submit photocopies of the required proof of eligibility corresponding to your qualifications in Step 5.
9. In Step 6, sign and date the application confirming all provided information is accurate and that you meet the eligibility criteria.
10. Finally, complete the Lifeline Household Worksheet to confirm that no one else in your household receives Lifeline support. Sign the form accordingly.
11. Once completed, save changes, download or print the form, and share it as necessary to submit your application.

Begin your application for the Lifeline Discount Program online today.