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Ebb program application form 2026

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The FCC Form 5638 is an application for the Emergency Broadband Benefit (EBB) Program, which provides financial assistance for broadband services to low-income households during the COVID-19 pandemic. Eligible households can receive up to $50 monthly for internet service (or $75 on Tribal lands) and a one-time device benefit of up to $100. The program is temporary and requires accurate information submission, with penalties for fraud. Applicants must demonstrate eligibility through government assistance programs or income levels.

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Click ‘Get Form’ to open the EBB Program application form in our editor.
Begin by entering your full legal name in capital letters as it appears on official documents. This is crucial for identity verification.
Provide your phone number and email address. While the email is recommended, ensure all fields are filled accurately.
Select your preferred method of identity verification. You can choose to enter the last four digits of your Social Security number or provide a Tribal ID or other government ID.
Fill in your home address where you will receive service. If applicable, indicate if this is a temporary address and check if you live on Tribal lands.
Complete the qualification section by checking any government assistance programs you participate in or indicating a loss of income since February 2020.
Initial each agreement statement on page 7 to confirm your understanding and compliance with program rules before submitting the form.

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