Form preview

Get the free Application for Lifeline Telephone Assistance Program

Get Form
Este formulario es una solicitud para el Programa de Asistencia Telefónica Lifeline, que ayuda a los hogares de bajos ingresos a reducir el costo del servicio telefónico básico. Para calificar,
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign application for lifeline telephone

Edit
Edit your application for lifeline telephone form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your application for lifeline telephone form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit application for lifeline telephone online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Here are the steps you need to follow to get started with our professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit application for lifeline telephone. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
Dealing with documents is always simple with pdfFiller.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out application for lifeline telephone

Illustration

How to fill out Application for Lifeline Telephone Assistance Program

01
Obtain the Application for Lifeline Telephone Assistance Program form from the official website or your service provider.
02
Carefully read the eligibility requirements and ensure you qualify for the program.
03
Fill in your personal information, including your name, address, and contact details.
04
Provide proof of eligibility, which may include documentation of income or participation in qualifying assistance programs.
05
Indicate the type of assistance you are applying for, whether it's for a landline or mobile phone service.
06
Review your application for accuracy and completeness before submitting.
07
Submit the application form either via mail, online, or in person, depending on the instructions provided.

Who needs Application for Lifeline Telephone Assistance Program?

01
Low-income individuals and families who cannot afford standard telephone service.
02
Individuals receiving government assistance such as Medicaid, Supplemental Nutrition Assistance Program (SNAP), or Federal Public Housing Assistance.
03
Seniors or disabled individuals that may require assistance in maintaining communication services.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.3
Satisfied
42 Votes

People Also Ask about

Lifeline's monthly costs vary depending on the device purchased and the payment frequency you select. Monthly costs start at $29.95 for the HomeSafe landline system and go up to $49.95 for the On the Go Mini device. Opting for annual or semiannual payment frequencies can decrease your monthly rate by up to $5.
Lifeline is the FCC's permanent program to support affordable access to essential communications services such as broadband Internet access. The ACP is a new program designed to provide additional support to make broadband more affordable for certain low-income households.
After six months, they may apply for the standard Lifeline benefit of up to $9.25 for qualifying internet or bundled services or $5.25 per month for voice-only service.
New Assurance Wireless Lifeline customers receive: A minimum 4.5GB FREE Data Each Month* Unlimited FREE Texts Each Month. A minimum of 3,000 FREE Voice Minutes Each Month*
Lifeline is for people whose income is at or below 135% of the federal poverty guidelines, or who participate in a government program like SNAP. Eligible people can get up to $9.25 off their monthly phone or internet bill. On Tribal lands, there is an additional discount of up to $25.
An unemployment or worker's compensation statement of benefits. A Federal or Tribal notice letter of participation in General Assistance. A Divorce Decree or child support award. An official document with a date in the last 12 months that shows your annual income.
Lifeline can help pay for your landline or cell (wireless) phone service. You can also get help with your internet bill. Eligibility for Lifeline is based on your income and household size or if you receive benefits from a federal assistance program.
Lifeline is a government benefit program that offers eligible customers FREE cell phone service every month. You must participate in federal programs such as SNAP, Medicaid, SSI, and more, or by income in order to qualify for this FREE benefit. Sign up now to see if you qualify!

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Application for Lifeline Telephone Assistance Program is a form that individuals must complete to receive discounts on their telephone or internet services. This program aims to help low-income individuals and families maintain access to essential communication services.
Individuals or families that fall below the federal poverty guidelines or participate in certain government assistance programs may be required to file the Application for Lifeline Telephone Assistance Program to qualify for benefits.
To fill out the application, individuals must provide personal information such as name, address, household income, and any qualifying program details. It is essential to follow the instructions carefully and submit the form to the designated agency or service provider.
The purpose of the Application for Lifeline Telephone Assistance Program is to identify eligible individuals and families who require financial assistance to access affordable phone and internet services, thereby ensuring that all have the means to communicate.
The application must include personal identification information, proof of income or proof of participation in qualifying assistance programs, and other relevant details that verify eligibility for the Lifeline program.
Fill out your application for lifeline telephone online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.