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LIFELINE TELEPHONE ASSISTANCE APPLICATION FORM Subscribers Full Name: Subscribers Physical Address: (Address cannot be a post office box) City: State: Is the physical address you provided permanent
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How to fill out lifeline telephone assistance application

How to fill out the lifeline telephone assistance application:
01
Start by gathering all necessary documents and information. This may include proof of income, proof of government assistance programs, or proof of eligibility based on household income.
02
Fill out the personal information section accurately. Provide your full name, address, date of birth, and other relevant details.
03
Next, provide information about your household. This may include the number of people living in your household, their names, ages, and relationships to you.
04
Indicate your current telephone service provider and the type of service you currently have. If you do not have a telephone service, specify that as well.
05
If you are receiving any government assistance programs, indicate which ones and provide supporting documentation if required.
06
If you are applying based on your household income, provide accurate information about your income, including any wages or benefits received by household members.
07
Follow the application instructions carefully. Make sure to provide all necessary supporting documents and signatures as required.
08
Once complete, double-check the application for any errors or missing information before submitting it.
09
Keep a copy of the application for your records and submit it according to the instructions provided.
Who needs the lifeline telephone assistance application:
01
Individuals or households who meet the eligibility requirements for the lifeline telephone assistance program.
02
Low-income households who are struggling to afford telephone service.
03
Individuals who are receiving government assistance programs like Medicaid, SNAP, SSI, Federal Public Housing Assistance, Veterans Pension and Survivors Benefit, or have income at or below 135% of the federal poverty guidelines.
04
People who do not already have a telephone service or cannot afford an existing one.
05
Those who rely on telephone service for essential needs such as emergency calls, medical appointments, employment opportunities, or staying connected with family and friends.
Note: The eligibility criteria and requirements may vary depending on the country and specific program guidelines. It is recommended to refer to the official lifeline telephone assistance program website or consult with relevant authorities for accurate and up-to-date information.
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