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01. Edit your lifeline annual recertification form online
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out Section 1, Subscriber Information. Enter your first name, last name, last four digits of your SSN, and date of birth. Ensure that you provide a valid street address for your primary residence.
- In Section 2, Eligibility for Lifeline, indicate if you or a household member receives benefits from qualifying federal programs. Check all applicable programs and confirm your household size and income based on the provided chart.
- Complete Section 3 by providing required certifications. Initial each statement to confirm your understanding and agreement regarding eligibility and responsibilities related to the Lifeline benefit.
- Finally, sign and date the form before mailing it to the specified address. Make sure all information is accurate to avoid any delays in processing.
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