Get Or Fm784 2020-2025

Completing the OR FM784, the Oregon Lifeline Application, is an important step for individuals seeking assistance in reducing their telecommunications bills. This guide aims to provide clear and supportive instructions to help you fill out the form online efficiently.

Follow the steps to complete the Oregon Lifeline application form.

1. Press the ‘Get Form’ button to access the Oregon Lifeline Application. This will open the form in the online environment, allowing you to begin filling it out.
2. In Section 1, enter your applicant’s legal name as it appears on your phone bill or account. Include your social security number, home address, birth date, and indicate if your address is temporary.
3. Complete Section 2a if you or your household members are enrolled in any of the listed programs such as Supplemental Nutrition Assistance Program (SNAP) or Medicaid. Place a check mark next to these programs.
4. If you do not qualify for any programs in Section 2a, fill out Section 2b, indicating your household size and gross yearly income by placing a check mark next to the correct categories. Ensure you attach proof of your income.
5. In Section 3, read the rules and initial each box to acknowledge your understanding and agreement to comply with the Oregon Lifeline guidelines. Your initials indicate consent to the terms listed.
6. Finally, provide your signature, print your name, and date the application. Double-check that all required sections are completed and documentation is included.
7. Save the changes to your completed application. You may then download, print, or share it as necessary before submission.

Take the next step and complete your Oregon Lifeline application online today.