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19 mar 2024 · FCC FORM 5629 OMB APPROVAL EDITION 3060-0819 Lifeline Program Application Form 1. About Lifeline Lifeline is a federal benefit that lowers the monthly cost of phone or internet service. Rules If you qualify, your household can get Lifeline for phone or internet service, but not both.
Complete the Lifeline Program Application Form 5629. Copy of photo ID required if not already on file. Complete your information under section 2. Provide a copy of the award letter from the program you marked under Section 3. If you qualify under income you will need to enclose a copy of one (1) of the following:
FCC Form 5629 – The Lifeline Program Application Form. FCC Form 5629 will be used in all states and territories to obtain the information necessary to evaluate whether a consumer is eligible to receive Lifeline service and to obtain the consumer’s certifications, as required by 47 CFR § 54.410.
Forms. Service providers must file all FCC forms electronically. Paper forms are for reference only. Consumers and subscribers may complete online or paper forms. Service Providers: Disbursements. Service Providers: Annual Filings. Consumers.
Application Form. 1. . About Lifeline. Lifeline is a federal benefit that lowers the monthly cost of phone or internet service. Rules. If you qualify, your household can get Lifeline for phone or internet service, but not both. .
If you want to apply for Lifeline benefits, start with the Lifeline Application Form (FCC Form 5629). This is the form needed to establish your eligibility and to help you get connected with a Lifeline provider.
To learn more about these programs and learn if you qualify for a discount, visit Lifeline's Do I Qualify? page or the Emergency Broadband Benefit Program's Do I Qualify? page. EBB Program service providers may operate their own eligibility process, so consumers should
