Get Lifeline Program Annual Recertification Form

This guide will assist you in completing the Lifeline Program Annual Recertification Form online. Following these steps will ensure that you successfully recertify your eligibility for this important benefit.

Follow the steps to complete your Lifeline Program annual recertification form online.

1. Press the ‘Get Form’ button to access the Lifeline Program Annual Recertification Form and open it in your form editor.
2. Begin completing Section 1: Subscriber Information. Provide your first name, last name, the last four digits of your Social Security Number, and your date of birth. Ensure to list your Lifeline support telephone number if applicable.
3. If your billing address is different from your service address, fill out that information including street address, apartment number, city, state, and zip code.
4. Move to Section 2: Eligibility for Lifeline. Indicate whether you, a dependent, or a household member participates in a qualifying federal program by checking all applicable options.
5. Proceed to Section 3: Required Certifications. Initial each statement to confirm your understanding and agreement regarding your eligibility for the Lifeline Program.
6. Finally, review your completed form for accuracy. Save your changes, and utilize the options to download, print, or share your form if necessary. Once ready, ensure to mail your completed form to the designated address.

Take the steps to complete your Lifeline Program Annual Recertification Form online and safeguard your benefits.