Fcc form 5629-2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your full legal name in capital letters as required. Ensure that the name matches your official documents.
  3. Provide your contact information, including phone number, date of birth, and email address if available. This is crucial for communication regarding your application.
  4. Fill out your home address accurately, avoiding P.O. Boxes. If applicable, indicate if you live on Tribal Lands.
  5. In the qualification section, check all relevant government assistance programs you or someone in your household participates in. Alternatively, provide income details if qualifying through income.
  6. Initial each agreement statement on page 6 to confirm understanding and compliance with Lifeline rules.
  7. Finally, sign and date the form before submitting it to your service provider either by mail or in person.

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Lifeline provides up to a $9.25 monthly discount on service for eligible low-income subscribers and up to $34.25 per month for eligible subscribers on Tribal lands.
The Lifeline program is a federally funded government program that aims to provide phone service and internet access to low-income individuals.
You can qualify for California LifeLine if you or another person in your household is enrolled in any one of these qualifying public assistance programs: Medicaid/Medi-Cal. Low Income Home Energy Assistance Program (LIHEAP) Supplemental Security Income (SSI) Federal Public Housing Assistance or Section 8.
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.
Income Eligibility Household Size48 Contiguous States, DC, TerritoriesAlaska 2 people $24,719 $30,902 3 people $31,091 $38,867 4 people $37,463 $46,832 5 people $43,835 $54,7975 more rows

People also ask

You can qualify for FREE cell phone service if you participate in a government benefit program like SNAP, Medicaid, SSI, and more. You may also qualify by income. The best way to find out if you qualify is to apply today!
This fear is understandable because both programs were government efforts to help low-income families afford phone and internet services. But its important to know that Lifeline is not ending.

form 5629