Home
Forms Library
Affordable connectivity program application form

Affordable connectivity program application form 2025

affordable connectivity program application form Preview on Page 1

See details

4.9 out of 5

43 votes

The FCC Form 5645 is an application for the Affordable Connectivity Program (ACP), which offers broadband and device benefits to qualifying low-income households. Eligible households can receive a monthly benefit of up to $30 for internet service, or $75 on Tribal lands, and a one-time device benefit of up to $100. The form outlines eligibility criteria, including participation in government assistance programs or income thresholds, and emphasizes the importance of providing accurate information. It also details the application process and requirements for both applicants and service providers.

Here's how it works

01. Edit your affordable connectivity program application form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send affordable connectivity program application form online via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out the Affordable Connectivity Program Application Form

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering your full legal name in capital letters as required. Ensure that this matches your official documents.
Provide your phone number and email address for communication purposes. This is recommended for faster processing.
Select an identity verification method. You can choose to enter the last four digits of your Social Security number, a Tribal ID, or another form of government ID.
Fill in your home address accurately, avoiding P.O. Boxes. If applicable, indicate if you live on Tribal lands.
Complete the qualification section by checking all relevant government assistance programs you participate in or provide income details as necessary.
Initial each agreement statement on page 7 to confirm your understanding and compliance with the program rules before signing and dating the form.

Start filling out your application today using our platform for free!

See more affordable connectivity program application form versions

We've got more versions of the affordable connectivity program application form form. Select the right affordable connectivity program application form version from the list and start editing it straight away!

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

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

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

What replaced the ACP program?

The FCCs Lifeline Program subsidizes the cost of home broadband and phone service for low-income consumers. While the goals of the ACP overlapped with those of the Lifeline Program, Lifeline is funded through the Universal Service Fund (USF), not appropriations.

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.

Has the ACP program been reinstated?

Lifeline. Lifeline is a federal subsidy that provides $9.25 per month to low-income households for home internet or cellphone plans. Its eligibility requirements are a little stricter than those of the ACP. Your income must be 135% or less than the Federal Poverty Guidelines, or $43,403 for a family of four.

What is replacing the affordable connectivity program?

No single alternative exists that would fully replace ACP. Some consumers may qualify for assistance to pay for internet access through other existing programs, including the Lifeline Program, various Department of Veterans Affairs (VA) programs, and discounted plans from internet providers.

What documents are needed for ACP application?

Drivers License, Military ID, Passport, Taxpayer Identification Number (ITIN), or other Government ID. Please select the type of identification you would like to use to verify your identity. Fill out this section to show that you, your dependent, or someone in your household qualifies for the ACP.

acp program application

Apply for Affordable Connectivity Program Affordable connectivity program application form pdf Affordable Connectivity Program login Affordable connectivity program application form 2022 ACP application online Lifeline Affordable Connectivity Program Affordable Connectivity Program 2025 ACP program

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

Is the government going to renew the ACP program?

Due to a lack of additional funding from Congress, the ACP ran out of funds and has ended for now, effective June 1, 2024. As a result, all ACP households will no longer receive the ACP discount.

Affordable connectivity program application form 2025

Here's how it works

How to use or fill out the Affordable Connectivity Program Application Form

See more affordable connectivity program application form versions

Complete this form in 5 minutes or less

Got questions?

What replaced the ACP program?

Is ACP coming back?

Has the ACP program been reinstated?

What is replacing the affordable connectivity program?

What documents are needed for ACP application?

Complete this form in 5 minutes or less

People also ask

Is the government going to renew the ACP program?

acp application online

Try more PDF tools