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3ErAF1p:d+:lv&b0BV5555555555 JOHN SAMPLE California Lifeline Household Worksheet California Lifeline is a government program that provides discounted phone service to qualified households. Only ONE
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How to fill out california lifeline household worksheet

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How to fill out California Lifeline Household Worksheet:

01
Obtain the California Lifeline Household Worksheet form from the California Lifeline website or by contacting the California Lifeline Service Center.
02
Fill out the personal information section, which includes your name, address, date of birth, and contact information.
03
Provide the necessary details about your household, such as the number of people living in the household and their relationship to you.
04
Indicate the specific programs in which members of your household participate, such as Medicaid/Medi-Cal, Supplemental Security Income (SSI), CalFresh, or Federal Public Housing Assistance, among others.
05
If any members of the household receive income, disclose the type of income and the amount received.
06
Specify whether any members of the household have tribal lands.
07
Review the completed form to ensure accuracy and completeness.
08
Sign and date the form accordingly.
09
Attach any supporting documents required, such as copies of proofs of income or program participation.
10
Submit the filled-out California Lifeline Household Worksheet form by mail or through the online portal, as instructed.

Who needs California Lifeline Household Worksheet?

01
Low-income individuals and households in California who wish to apply for the California Lifeline discounted telephone service are required to fill out the California Lifeline Household Worksheet.
02
Those who receive certain forms of government assistance, such as Medicaid/Medi-Cal, Supplemental Security Income (SSI), CalFresh, or Federal Public Housing Assistance, among others, are typically eligible for the California Lifeline program and thus may need to complete this worksheet.
03
Individuals and households with limited income who meet the program's eligibility criteria are encouraged to complete the California Lifeline Household Worksheet to determine their eligibility for the discounted telephone service provided by California Lifeline.
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The California Lifeline Household Worksheet is a form used to determine eligibility for the California Lifeline program.
Individuals who wish to apply for the California Lifeline program are required to file the household worksheet.
The California Lifeline Household Worksheet can be filled out by providing accurate information about household income, number of residents, and any government assistance received.
The purpose of the California Lifeline Household Worksheet is to verify eligibility for the California Lifeline program and ensure that only qualified individuals receive benefits.
Information such as household income, number of residents, and government assistance received must be reported on the California Lifeline Household Worksheet.
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