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Get the free 2017 Lifeline Combo Form with Lifeline Worksheet - SWAT 042017.pdf

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For Office Use Only Type of DocumentationDate ReviewedReviewed by Lifeline Household Worksheet Yes No Date NLAD Queried. I acknowledge that providing false or fraudulent information to receive Lifeline benefits is punishable by law eligibility will result in de-enrollment and the termination of my Lifeline benefits. Coop FAX 870-653-2963 Lifeline is a federal benefit that makes monthly telephone or broadband internet service more affordable for eligible households. Signature Date Send the...
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How to fill out 2017 lifeline combo form

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How to fill out 2017 lifeline combo form

01
Start by gathering all the necessary information such as your personal details, income information, and household size.
02
Download the 2017 lifeline combo form from the official website or obtain a physical copy from the nearest lifeline office.
03
Read the instructions carefully and make sure you understand each section of the form.
04
Begin filling out the form by entering your personal information accurately, including your full name, address, and contact details.
05
Provide the required income information, such as your employment details, income sources, and any government assistance you may receive.
06
If you have any dependents, make sure to include their information as well.
07
Fill out the remaining sections of the form, following the instructions provided for each specific section.
08
Review all the information you entered and make sure it is accurate and complete.
09
Sign and date the form.
10
Submit the completed form either by mail or in person to the designated lifeline office. Make sure to include any required supporting documents.
11
Keep a copy of the form for your records.

Who needs 2017 lifeline combo form?

01
Low-income individuals or families who meet the eligibility criteria for the lifeline program.
02
Individuals or families with limited financial resources who require assistance with essential services such as phone and internet access.
03
Those who are currently receiving certain government assistance programs such as Medicaid, Supplemental Nutrition Assistance Program (SNAP), Federal Public Housing Assistance (FPHA), etc.
04
Individuals who live on federally recognized tribal lands and meet the eligibility requirements.
05
People who meet the income guidelines set by the lifeline program and reside in participating states where the lifeline program is available.
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The lifeline combo form is filled with both the Lifeline Application and the Lifeline Recertification forms.
Low-income consumers who qualify for the Lifeline program are required to file the lifeline combo form.
To fill out the lifeline combo form, consumers need to provide personal information, proof of eligibility, and sign the form.
The purpose of the lifeline combo form is to help eligible consumers apply for and maintain their participation in the Lifeline program.
The lifeline combo form requires information such as name, address, household size, income, and government assistance programs participation.
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