Tools

See our worksheets and other resources to help you receive your benefit.

Forms

The Lifeline program Application, Household Worksheet, and Recertification Form are available in English and Spanish.

• Application Form – English
• Formulario de Aplicación – Español (Spanish)
• Household Worksheet – English
• Planilla de Hogar – Español (Spanish)
• Recertification Form – English
• Formulario de Recertificación – Español (Spanish)

Instructions

Instructions to complete the Lifeline program online and paper applications are available in English and 9 other languages.