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  • Fcc Form 5645 2021

Get Fcc Form 5645 2021-2025

FCC FORM 5645Affordable Connectivity Program Application Format the ACP The ACP is a Federal Communications Commission (FCC) program that provides a broadband and/or onetime connected device benefit.

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How to fill out the FCC Form 5645 online

Filling out the FCC Form 5645 online is a crucial step for qualifying low-income consumers seeking assistance through the Affordable Connectivity Program. This guide provides clear instructions on how to complete the form to ensure a smooth application process.

Follow the steps to successfully complete the FCC Form 5645 online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Provide your full legal name in the designated field. This should match the name on your official documents, such as your Social Security card or state ID. Make sure to use capital letters.
  3. Enter your phone number, date of birth, and email address. Make sure the information is accurate and formatted correctly.
  4. For identity verification, choose one of the available options. You can provide the last four digits of your Social Security number, a Tribal Identification Number, or select from other valid forms of identification. Ensure to attach a scanned copy or photo of the identification.
  5. Fill out your home address. This should be the address where you will receive service. Avoid using a P.O. Box.
  6. If applying through a child or dependent, indicate this and provide their full legal name, date of birth, and appropriate identity verification information.
  7. In the qualifying section, indicate whether you or someone in your household qualifies through government assistance programs or income. Select all relevant programs and be prepared to submit supporting documents.
  8. Initial each agreement statement provided in the form. It is crucial to ensure that all statements are initialed, as this confirms your understanding and agreement to the terms.
  9. Sign the form and include the date. This indicates your certification of the information provided.
  10. After completing the form, save your changes. You may then download, print, or share the completed form as needed.

Start completing your FCC Form 5645 online today to access your benefits.

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What this worksheet is for Use the household worksheet if someone else at your address gets the ACP benefit. The answers to the worksheet questions will help you find out if there is more than one household at your address.

By mail, you must complete the paper form and mail it to the ACP Support Center....Other options include: Driver's license or other valid government, state, or Tribal ID. Utility bill. Mortgage or lease statement. Most recent W-2 or tax return.

The Affordable Connectivity Program isn't a scam. It's an FCC initiative to provide low-cost or free internet to low-income households.

The Affordable Connectivity Program (ACP) is a U.S. government program run by the Federal Communications Commission (FCC) to help low-income households pay for internet service and connected devices like a laptop or tablet.

California LifeLine provides discounted home phone and cell phone services to qualified households. On December 31st, 2021 the Affordable Connectivity Program (ACP) replaced the Emergency Broadband Benefit (EBB). Existing EBB customers will have a 60 days to transition to ACP.

If a consumer household's gross annual income is 200% or less than the federal poverty guidelines, they qualify for the ACP. The table below reflects the income limit by household size, which is 200% of the 2023 Federal Poverty Guidelines.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232