Follow the steps to complete your application online.

1. Press the ‘Get Form’ button to access the application, opening it for your input.
2. Fill out the applicant information section with your last name, first name, middle initial, street address, city, state, and ZIP code. Check the box if your address is temporary.
3. Provide the last four digits of your Social Security Number and your date of birth in the specified format.
4. If your billing address is different from your principal residence, complete the corresponding section with the relevant street address, city, state, and ZIP code.
5. In the current telephone service section, check all applicable boxes related to your telephone service situation. Include your telephone number and current provider, if necessary.
6. Demonstrate eligibility by indicating your participation in one of the federal assistance programs or if your household income is at or below 135% of Federal Poverty Guidelines.
7. Provide a photocopy of documentation demonstrating your eligibility for the selected program. Ensure that you only send photocopies, as original documents will not be returned.
8. Complete the certification section by checking all applicable boxes regarding your eligibility and agreement to the Lifeline program terms.
9. Sign and date the application form to confirm the accuracy of the information you provided.
10. After completing the application, make sure to save your changes. You can download or print a copy of the form for your records before mailing it to AT&T Lifeline at the specified address.

Begin your application process online today and ensure you meet the requirements for Lifeline assistance.