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Lifeline Enrollment And Recertification Form - Tempo Wireless 2026

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  1. Click ‘Get Form’ to open the Lifeline Enrollment And Recertification Form in the editor.
  2. Begin by filling out your personal information on page 2, including your first name, last name, date of birth, and the last four digits of your Social Security number.
  3. Provide your contact telephone number and residential address. Ensure that the residential address is a street address and not a P.O. Box.
  4. Indicate whether you share income and expenses with others in your household by checking the appropriate box.
  5. Select all qualifying programs you participate in from the list provided. Make sure to review documentation requirements on pages 4 and 5.
  6. Certify your household income is at or below 135% of the Federal Poverty Guidelines and provide necessary documentation as outlined.
  7. Sign and date the application at the bottom of the form before submitting it along with any required documentation to Tempo via your preferred method listed on page 3.

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