Get Lifeline Program Application Form
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How to fill out the Lifeline Program Application Form online
The Lifeline Program provides federal assistance to reduce the monthly cost of phone or internet service for eligible users. Completing the Lifeline Program Application Form online can simplify the process of obtaining this valuable benefit.
Follow the steps to fill out the Lifeline Program Application Form online.
- Press the ‘Get Form’ button to collect the Lifeline Program Application Form and open it for editing.
- Begin by providing your full legal name in capital letters, as it appears on official documents. Include your first name, middle name (if applicable), last name, and suffix (if applicable).
- Input your phone number, date of birth, and email address where applicable.
- Provide the last four digits of your Social Security Number, or your Tribal Identification Number if you do not have an SSN.
- Select your preferred method of communication from the available options: email, phone, text message, or mail.
- Fill in your home address in the specified fields, including street number and name, along with your apartment or unit number if applicable, state, and zip code.
- Indicate whether this is a temporary address and check the appropriate box if you live on Tribal Lands.
- If your mailing address differs from your home address, enter that information in the corresponding fields.
- If you are applying through a child or dependent, provide their full legal name, date of birth, and last four digits of their Social Security Number, or their Tribal Identification Number.
- In the qualification section, check all applicable government programs that qualify you or your household members.
- If qualifying through income, select how many people live in your household and specify if your income matches or is below the provided guidance for your state.
- Initial next to each agreement statement to confirm your understanding and acceptance of the terms.
- Sign and date the form in the designated area at the end.
- Once completed, you can save changes, download, print, or share the form as needed.
Start your Lifeline Program Application Form online today to take advantage of this essential benefit.
T-Mobile offers Lifeline service in select states and only where it is designated as an Eligible Telecommunications Carrier. Lifeline is a Federal benefit that is not transferable to any other person. Lifeline service is available for only one line per Household.
Fill Lifeline Program Application Form
To apply for a Lifeline benefit, fill out the required sections of this form, initial every agreement statement, and sign on page 6. You will need to create an account (username and password) and enter all required information. The final step is to certify and sign the application form. • Read each statement and enter your initials. You may apply directly through the Lifeline program's National Verifier online portal (lifelinesupport. Lifeline Application (Form 5629). Apply now to confirm you qualify for the Lifeline program. Visit lifelinesupport. Org to see the full list of accepted documents. Apply.
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