Qualify & Save With The Lifeline Program

Step 1

Click Here to use the Lifeline National Verifier to enter your information, create an account, and see if you qualify.

Step 2

Once you receive confirmation that you qualify, click the Sign-Up button below and fill out the form. Qualifying customers must present verification of eligibility during application. Choose whether you would like to apply the discount to voice or internet services.

Name (Enter name exactly as it was entered on National Verifier site)

First

Middle

Last

Date of Birth

Last 4 Numbers of Social

Application ID

If the qualifying person that was used on the National Verifier Site is a dependent, please include their first and last name, last 4 digits of their social security number and their Date of birth.

Qualifying Dependent was Used Information above is the qualifying person

First Name

Last Name

Last 4 Numbers of Social

Date of Birth

Physical Address

Street Address

Address Line 2

City

State

Zip

Are you an existing customer?

Yes, I am already a Home Telecom customer.

Home Telecom Account #

Mailing Address

My mailing address is the same as the physical address.

Street Address

Address Line 2

City

State

Zip

Email

Phone

Apply Discount To

Internet

Voice

I have read and agree to the following:

My household receives only one Lifeline-supported service, and to the best of my knowledge, no one in my household receives Lifeline from another company. *I understand that I must notify the company within 30 days if: (1) I move to a new address, (2) I, or the eligible person in my household, no longer meets the program or income eligibility criteria, (3) my household receives more than one Lifeline-discounted service, or (4) my household, for any reason, no longer meets the criteria to receive Lifeline support, and that I may be penalized for failing to make the above notifications. *I give the company permission to release to the Universal Service Administrative Company (USAC) or its agent any records required to confirm that my household only receives one Lifeline benefit. If USAC finds that my household receives more than one Lifeline benefit, USAC will notify the companies, and I will have to select one service and I will be de-enrolled from the other. *I understand that I must recertify my Lifeline eligibility every year and that I will lose my Lifeline benefit if I do not recertify each year. *I understand that Lifeline is a government program and I may be punished if I knowingly provide false or untrue information to receive Lifeline. Punishment may include being fined, imprisoned, or barred from the Lifeline program.

For more information call 888-746-4482

Have Questions?

Am I eligible for these discounted telephone or internet rates?

Federal Public Housing Assistance
Low Income Home Energy Assistance
National School Free Lunch
Supplemental Security Income
Temporary Assistance for Needy Families
SNAP
Medicaid

Qualifying customers must present verification of eligibility during application.

To view the complete list of requirements, click here.

WHAT IS THE LIFELINE PROGRAM?

Step 1

Step 2

Name (Enter name exactly as it was entered on National Verifier site)

Date of Birth

Last 4 Numbers of Social

Application ID

If the qualifying person that was used on the National Verifier Site is a dependent, please include their first and last name, last 4 digits of their social security number and their Date of birth.

Physical Address

Are you an existing customer?

Home Telecom Account #

Mailing Address

Email

Phone

Eligibility Program(s)

Apply Discount To

Have Questions?

Am I eligible for these discounted telephone or internet rates?