Create your Lifeline program Application Form from scratch

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Here's how it works

01. Start with a blank Lifeline program Application Form
Open the blank document in the editor, set the document view, and add extra pages if applicable.
02. Add and configure fillable fields
Use the top toolbar to insert fields like text and signature boxes, radio buttons, checkboxes, and more. Assign users to fields.
03. Distribute your form
Share your Lifeline program Application Form in seconds via email or a link. You can also download it, export it, or print it out.

Create your Lifeline program Application Form in a matter of minutes

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Step 1: Access DocHub to set up your Lifeline program Application Form.

Begin by accessing your DocHub account. Utilize the advanced DocHub functionality at no cost for 30 days.

Step 2: Navigate to the dashboard.

Once signed in, go to the DocHub dashboard. This is where you'll create your forms and manage your document workflow.

Step 3: Create the Lifeline program Application Form.

Click on New Document and choose Create Blank Document to be taken to the form builder.

Step 4: Set up the form layout.

Use the DocHub tools to insert and arrange form fields like text areas, signature boxes, images, and others to your form.

Step 5: Insert text and titles.

Include necessary text, such as questions or instructions, using the text tool to lead the users in your form.

Step 6: Configure field settings.

Modify the properties of each field, such as making them mandatory or formatting them according to the data you plan to collect. Designate recipients if applicable.

Step 7: Review and save.

After you’ve managed to design the Lifeline program Application Form, make a final review of your form. Then, save the form within DocHub, transfer it to your selected location, or distribute it via a link or email.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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You can qualify for Lifeline if your household income is up to 135% of the Federal Poverty Guidelines or if you or someone in your household participates in certain federal assistance programs like SNAP and Medicaid.
The Lifeline program offers a monthly discount of up to $9.25 on one service per qualifying household. People living on Tribal lands are eligible for a discount of up to $34.25 per month. Telephone and internet service providers apply the discount to your monthly bill.
Do I need to de-enroll in the ACP to enroll in Lifeline? No. The ACP and Lifeline are separate programs. The ACP has ended for now due to a lack of additional funding from Congress.
If you currently receive a Lifeline benefit, you automatically qualify for the ACP, and you can receive both benefits at the same time. Both benefits can be applied to the same qualifying service or separately with the same or different providers.
Lifeline is available to eligible low-income consumers in every state, commonwealth, territory, and on Tribal lands. The Lifeline program is administered by the Universal Service Administrative Company (USAC).
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Related Q&A to Lifeline program Application Form

Lifeline Eligibility Guidelines Income Based: Your income is at or below 135% of the Federal Poverty Guidelines.
There are three ways to redocHub for Lifeline. Complete the online form to redocHub. This option is only available if you DO NOT have to provide proof documentation. Call (855) 359-4299, enter in the application ID number included in your letter, and follow the prompts.
Lifeline is an FCC program that helps make communications services more affordable for low-income consumers. Lifeline provides subscribers a discount on qualifying monthly telephone service, broadband Internet service, or bundled voice-broadband packages purchased from participating wireline or wireless providers.

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