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Lifeline Government assisted phone service requires a signed Lifeline Self Certification form be submitted before the order can be processed.
You can either use the on-line form or, download a printable form then send it to us after filling it out.
(not all states are available through in the on-line form)
If you submitted your order for phone service using our on-line order process, you probably already submitted the lifeline certification as part of that process.
If you placed your order over the phone, you will need to submit a Lifeline certification form using one of the following two methods.
If you prefer, you can use the section below to print and send us a Lifeline certification.