Government assisted phone service requires a signed Lifeline Self Certification form
be submitted before the order can be processed.
If you already ordered your service and still need to submit the Lifeline certification, you can submit an
on-line form (where available) by logging into the customer portal using your new account number.
Printable forms are also available in some states.
Lifeline Certification for Home Telephone Service | ||
Customer portal form submission available in these states: | ||
Alabama | Georgia | Mississippi |
Arkansas | Indiana | |
California | Louisiana | Ohio |
Colorado | Michigan | Tennessee |
Florida | Missouri | Texas |
Printable form available for these states: | ||
Arkansas | Louisiana | South Carolina |
Alabama | North Carolina | Oklahoma |
Georgia | Kentucky | Ohio |
Florida | Michigan | Wisconsin |
Indiana | Mississippi | Tennessee |
Kansas | Missouri | Texas |
Lifeline Certification for Cellular Service | ||
Printable form available for these states: | ||
Arkansas | Louisiana | Oklahoma |
Arizona | Maryland | Rhode Island |
Colorado | Maine | Pennsylvania |
Georgia | Michigan | South Carolina |
Indiana | Missouri | Texas |
Illinois | Minnesota | Washington |
Iowa | Nevada | Wisconsin |
Kentucky | Nebraska | West Virginia |
Kansas |
We also have available government assisted telephone service for your house. Get started for under $30 in most states.