California lifeline application form pdf 2026

1. Click ‘Get Form’ to open the California Lifeline Application Form PDF in our editor.
2. Begin by verifying your personal information in Step 1. Ensure that your name, address, and phone number are accurate. If there are any mistakes, contact your phone company within 30 days for corrections.
3. In Step 2, confirm if your household is already receiving federal Lifeline discounts. If yes, proceed to the next step.
4. For Step 3, indicate if you or anyone in your household participates in any of the listed programs by filling in the corresponding bubbles completely with a blue or black pen.
5. If applicable, move to Step 4 to check if your household's total annual gross income meets the eligibility criteria. Fill in the number of people in your household and their total income.
6. Finally, sign and date the form at the bottom. Make sure to print your name clearly and provide any additional required information.

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