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Signature Date Send the completed form and proof of eligibility to MAIL Ardmore Telephone 30190 Ardmore Ave. 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. Page 2 SECTION 3 - Certification By initialing each line and signing below I certify under penalty of perjury that the information contained within this certification form is true and correct...
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How to fill out ardmore telephone lifeline form
01
Gather all the necessary information and documents required to fill out the Ardmore telephone lifeline form.
02
Start by entering your personal details such as full name, date of birth, and contact information.
03
Provide information about your current telephone service provider and account number.
04
Indicate whether you are applying as an individual or on behalf of a household.
05
If applying on behalf of a household, provide details for all household members.
06
Specify your eligibility for the Ardmore telephone lifeline program and provide any supporting documentation if required.
07
Complete the income section by providing your annual income details and any additional sources of income.
08
If applicable, indicate any government assistance programs you are currently enrolled in.
09
Sign and date the form, certifying that the information provided is true and accurate.
10
Submit the completed form by mail or in person according to the instructions provided.
Who needs ardmore telephone lifeline form?
01
Individuals who meet the eligibility criteria for the Ardmore telephone lifeline program.
02
Households or individuals who require financial assistance to afford telephone service.
03
Residents of Ardmore or the designated service area for the Ardmore telephone lifeline program.
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What is ardmore telephone lifeline form?
The ardmore telephone lifeline form is a document used to apply for discounted telephone services for low-income households.
Who is required to file ardmore telephone lifeline form?
Individuals or households meeting certain income requirements are required to file the ardmore telephone lifeline form to receive discounted telephone services.
How to fill out ardmore telephone lifeline form?
To fill out the ardmore telephone lifeline form, applicants need to provide information about their household income, number of members in the household, and other relevant details.
What is the purpose of ardmore telephone lifeline form?
The purpose of the ardmore telephone lifeline form is to help low-income households access affordable telephone services.
What information must be reported on ardmore telephone lifeline form?
Information such as household income, number of household members, and contact details must be reported on the ardmore telephone lifeline form.
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