Fillable Online Lifeline Application West Virginia - AT&T Fax 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Applicant Information' section. Enter your last name, first name, middle initial, and principal residence address. Ensure that the address is not a P.O. Box and check the box if your address is temporary.
3. Provide your Social Security Number (last four digits) and date of birth in the designated fields.
4. If your billing address differs from your residential address, complete the 'Billing Address' section with the required information.
5. In the 'Current Telephone Service' section, indicate whether you currently have telephone service and provide details about your current provider if applicable.
6. Review the 'Eligibility Requirements' carefully. Check all applicable programs for which you are providing documentation to demonstrate eligibility.
7. Complete the certification statements at the end of the form by initialing each statement and signing where indicated.

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