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Affordable Connectivity Program Application Form - About the ACP 2025

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The FCC Form 5645 is an application for the Affordable Connectivity Program (ACP), which offers monthly internet service discounts and a one-time device benefit to qualifying low-income households. The form outlines eligibility criteria, including participation in government assistance programs or income thresholds, and emphasizes the importance of providing accurate information. It details the application process, necessary documentation, and rules regarding benefits, including non-transferability and limitations on household participation. The document also includes privacy statements regarding the use of personal information.

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Click ‘Get Form’ to open the Affordable Connectivity Program Application Form in our editor.
Begin by filling out your personal information in the 'Your Information' section. Ensure you use CAPITALIZED LETTERS and black ink. Provide your full legal name, phone number, date of birth, and email address.
For identity verification, select one of the options provided. If using a Social Security number, enter the last four digits. Alternatively, you can choose a Tribal ID or another form of government identification.
Complete your home address accurately. If applicable, indicate if you live on Tribal lands and provide a mailing address if different from your home address.
In the 'Qualify for the ACP' section, check all relevant government assistance programs that apply to you or your household. Include any necessary documentation to support your application.
Review and initial each agreement statement in the 'Agreement' section to confirm understanding and compliance with program rules before signing and dating the form.

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Versions	Form popularity	Fillable & printable
2023	4.7 Satisfied (50 Votes)
2021	4.9 Satisfied (43 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Has the ACP program been reinstated?

The ACP ended on June 1, 2024. At one time, over 23 million households received ACP support. No single alternative exists that would fully replace ACP.

Is ACP coming back?

The ACP Has Ended for Now. Due to a lack of additional funding from Congress, the Affordable Connectivity Program has ended for now. Effective June 1, 2024, households will no longer receive an ACP discount.

Is anything replacing the affordable connectivity program?

Soldier Eligibility Requirements: Must have completed Basic Leadership Course (BLC) Time-in-service (TIS): Minimum of 4 years and no more than 12 years. Possess a minimum GPA of 3.0 as calculated from all college transcripts. Must be able to commission by the age of 42.

Has the Affordable Connectivity Program been reinstated?

The ACP was a $14.2 billion program that launched in December 2021, but after two-and-a-half years of offering discounts on internet service and connected devices to low-income consumers, the funding Congress initially made available for the ACP has since run out.