Get Assurance Wireless - Lifeline Service In The State Of North Carolina

Completing the Assurance Wireless - Lifeline Service application is essential for accessing vital communication services. This guide provides detailed, step-by-step instructions on filling out the form accurately and efficiently, ensuring you meet all necessary requirements.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Indicate your service address and, if applicable, your billing address. Ensure to provide your Social Security Number and date of birth accurately to avoid processing delays.
3. Select whether you qualify through participation in a qualifying program or based on your total household income. You must provide photocopies of relevant documentation that supports your eligibility.
4. Complete the eligibility certification by checking all applicable programs if you are applying based on program participation. Ensure the photocopies of your documentation are included.
5. If applying based on income, indicate the number of people in your household and list the documents you are providing to verify your income.
6. Sign and date the application at the designated area to confirm that all information is accurate and that you agree to comply with Lifeline benefit rules.
7. Once completed, save changes and consider downloading or printing the form for your records before submitting it. Ensure you mail the form to Piedmont Telephone, P.O. Box 646, Dobson, NC 27017.

Complete your Assurance Wireless - Lifeline Service application online today!