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Indiana Lifeline Application Name: (Please print) Last First Middle Address: (No P.O. Boxes) Street City State Zip Billing address: (if different from above) Street City State Zip Is this address
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How to fill out indiana lifeline application

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How to fill out Indiana Lifeline application:

01
Start by obtaining the application form. You can either download it from the official website of Indiana Lifeline Program or request a physical copy by contacting their customer service.
02
Carefully read the instructions provided with the application form. This will ensure that you understand the requirements and necessary documentation needed to complete the application accurately.
03
Fill out the personal information section of the application form. This includes your full name, address, date of birth, social security number, and contact information. Make sure to provide accurate and up-to-date information.
04
Provide information about your household. You will be required to state the number of people living in your household, their names, and their relationship to you. This information helps determine eligibility for the Lifeline Program.
05
Indicate your current participation in other assistance programs. This includes programs such as Medicaid, SNAP, Supplemental Security Income (SSI), Federal Public Housing Assistance, Veterans Pension and Survivors Benefit, etc. Providing this information can positively contribute to your eligibility evaluation.
06
Complete the income section of the application form. You will need to disclose your household's total annual income before taxes. If applicable, you may also need to provide documentation such as pay stubs or tax returns to support your income claims.
07
Sign and date the application form. By signing, you certify that all the information provided is true and accurate to the best of your knowledge. Any false information can lead to disqualification from the program.

Who needs Indiana Lifeline application:

01
Low-income individuals and families who meet the eligibility criteria for the Lifeline Program in Indiana may need to complete the Lifeline application.
02
Individuals who are currently receiving assistance through other government programs such as Medicaid, SNAP, or SSI may benefit from applying for the Lifeline Program.
03
Those who would like to access discounted or free telecommunications services, such as cell phone or home phone services, may also need the Indiana Lifeline application.
Note: It is advisable to check the specific eligibility requirements and documentation needed for the Indiana Lifeline Program as they might vary or change over time.
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The Indiana Lifeline application is a program that provides discounts on phone or internet services to eligible low-income households.
Low-income households who meet the eligibility requirements are required to file the Indiana Lifeline application.
To fill out the Indiana Lifeline application, applicants must provide personal information, proof of income, and any other required documentation.
The purpose of the Indiana Lifeline application is to help low-income households afford essential phone or internet services.
Information such as personal details, income verification, and any assistance programs the applicant is enrolled in must be reported on the Indiana Lifeline application.
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