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Get Fcc Form 5645 2021-2025
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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.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- 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.
- Enter your phone number, date of birth, and email address. Make sure the information is accurate and formatted correctly.
- 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.
- Fill out your home address. This should be the address where you will receive service. Avoid using a P.O. Box.
- If applying through a child or dependent, indicate this and provide their full legal name, date of birth, and appropriate identity verification information.
- 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.
- 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.
- Sign the form and include the date. This indicates your certification of the information provided.
- 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.
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.
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