Get Household Worksheet Form

Filling out the Household Worksheet Form online is an essential step for accessing Lifeline services. This guide provides step-by-step instructions to help users easily complete the form and submit it correctly, ensuring they receive the benefits they need.

Follow the steps to fill out the Household Worksheet Form online

1. Click the ‘Get Form’ button to obtain the Household Worksheet Form and open it in your editor.
2. Begin by entering your first name, middle initial, and last name in the designated fields.
3. Provide your complete residential address, ensuring you do not use a PO Box.
4. Fill in your city, state, and zip code accurately in the respective sections.
5. Enter the telephone number from which you are requesting or receiving Lifeline service.
6. Input the applicant’s date of birth in the required format, ensuring accuracy.
7. Submit the last four digits of your Social Security Number.
8. If applicable, provide your Tribal ID number.
9. Respond to the questions regarding the presence of a spouse or domestic partner living with you who has Lifeline service, indicating 'yes' or 'no'.
10. If there is another adult in your household with Lifeline service, indicate who will keep the Lifeline service by selecting the appropriate option.
11. Certify the accuracy of the information provided by signing and dating the form at the bottom.
12. Once all sections are completed, save your changes, then download, print, or share the form as needed.

Complete your Household Worksheet Form online today to ensure you access your Lifeline benefits.