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Do I have to submit any other forms?
Yes, in addition to sending a completed, signed application you should also send:

◦ A copy of your entire telephone bill that contains your name and address

◦ We recommend not sending your original telephone bill, as it will not be returned.

If you are self-enrolling because you are receiving benefits from a qualified program, you should include a copy of the documentation that shows you are receiving the benefit.

You will also need to complete and sign a Lifeline Certification form for the telephone discount.

Note: for the telephone discount, anyone in your household that is receiving benefits from a qualified program would make you eligible to receive the discount.

You are only allowed to get one Lifeline benefit per household, not per person. A household is a group of people who live together and share income and expenses so if other non-household lifeline customers share the same address you must complete an IEH worksheet

If you are self-enrolling by qualifying based on your income, please provide: A copy of your last year’s tax return or 2 consecutive months of documentation that supports your total household income.
Article ID: 150 Article Created: 02-01-2014 20:59 PMLast Modified: 05-20-2019 08:48 AM

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