California lifeline application form pdf 2026

1. Click ‘Get Form’ to open the California Lifeline Application Form in our platform.
2. Begin by filling out your personal information in Step 1, including your first name, last name, and home phone number. Ensure accuracy as this information is crucial for eligibility.
3. In Step 1, select your eligibility basis: either participation in a qualifying government program or total annual household income. Check all applicable programs if you choose the first option.
4. Proceed to Step 2 and attach photocopies of acceptable proof of eligibility based on your selection in Step 1. This documentation is essential for processing your application.
5. Complete Steps 3 through 6 by answering questions regarding current Lifeline assistance and consenting to data sharing as required. Make sure to initial all items in Step 5.
6. Finally, sign and date the form in Step 7. Remember that without a signature and date of birth, your application cannot be processed.

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