Get Omb Approval Edition 3060-0819

Filling out the OMB APPROVAL EDITION 3060-0819 form is a crucial step in applying for the Lifeline program, which helps eligible individuals reduce their phone or internet service costs. This guide will walk you through each section of the form with clear instructions to ensure you can complete it accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the OMB APPROVAL EDITION 3060-0819 form and open it in the editor.
2. In the 'Your Information' section, provide your full legal name, phone number, date of birth, email address, and the last four digits of your Social Security Number (SSN). If you do not have an SSN, enter your Tribal Identification Number.
3. Fill in your home address, ensuring to provide the correct street number, name, apartment or unit information, state, and zip code. Indicate whether this address is temporary and if you live on Tribal lands.
4. If you are applying on behalf of a child or dependent, check the appropriate box and provide their full legal name, date of birth, and last four digits of their SSN or Tribal Identification Number.
5. In the 'Qualify for Lifeline' section, check the applicable government programs that qualify you or your household member for Lifeline benefits. If qualifying through income, indicate the number of people in your household and confirm if your income meets the required thresholds.
6. Review the 'Agreement' section and initial next to each statement to affirm your understanding of Lifeline eligibility and responsibilities.
7. Sign and date the form at the bottom of page 6, ensuring that all provided information is accurate.
8. Once completed, save your changes to the form. You may download, print, or share the completed document as needed.

Complete your Lifeline application online today to enjoy the benefits of reduced phone and internet costs.