Get Lifeline Application Arizona

This guide provides step-by-step instructions for completing the Lifeline Application in Arizona online. The Lifeline program offers vital discounts on telephone and internet services to eligible individuals and households. Follow this guide closely to ensure your application is complete and accurate.

Follow the steps to successfully complete your Lifeline Application.

1. Press the ‘Get Form’ button to access the Lifeline Application Arizona and open it for editing.
2. Begin by entering your personal information. Fill in your first name, middle name, and last name as they appear on your phone bill. Next, provide your service address, ensuring to include any apartment or room numbers. Complete the city, state, and zip code fields accordingly. If your billing address is different, enter that information as well.
3. Indicate if your service address is temporary by checking the corresponding box. Next, provide your date of birth in the format MM/DD/YYYY. Include your Frontier telephone number or account number, which must be in your name, along with an alternate phone number where you can be reached.
4. Input the last four digits of your Social Security number or your Tribal identification number. If applying as an eligible resident of Tribal lands, check the appropriate box.
5. Select one government assistance program that you or a member of your household participates in, and attach evidence of participation, such as a benefit statement or official document. Remember to send photocopies only.
6. If program proof is not in your name, fill out the special certification section, providing the necessary details of the individual whose name is on the proof.
7. For income-based eligibility, check the box for Part 2 and provide proof of your household income, including documents such as tax returns or pay stubs. Ensure you list the number of people living in your household.
8. If you are 65 years or older, complete the section for the senior discount. Provide the number of people in your household and attach applicable proof of age and income.
9. After filling out the application, review all information for accuracy. Initial each certification line, as failure to do so will result in denial of your application.
10. Sign and date the application to validate it. If you are a legally authorized representative submitting on behalf of someone else, complete the required fields for your information.
11. Submit your completed application and all required documents either by mail, fax, or email as instructed. Ensure all documentation is included to avoid processing delays.

Complete your Lifeline Application Arizona online today to access essential discounts on communication services.