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Lifeline

Lifeline Applications

To expedite the approval process, customers may apply online at: https://getinternet.gov/apply?id=nv_home

Or select your state and click to download and print a paper application:

DC, DE, MA, MD, NC, NJ, NY, PA, RI, VA

 

CT

 

Instructions for completing the Lifeline application

 

  • Regardless of the state in which you reside, if you qualify through your income, include a photocopy of an official document or documents. See below for the full list of accepted income documents. Do not send original documents, as they will not be returned.
  • If you qualify through a government program, include a photocopy of an official document from the program you are qualifying through that includes the following:
    • Your name or the name of the qualifying person
    • The name of the qualifying program, such as SNAP
    • An issue date within the last 12 months or a future expiration date that aligns with the benefit period
    • The government or Tribal program administrator or the managed care organization (MCO) that issued the document
    • See below for the full list of accepted documents. Do not send original documents, as they will not be returned.
  • If you reside in New York and are receiving benefits from:
    • Medicaid, SSI, SNAP, Federal Public Housing Assistance, Veterans Pension, Veterans Survivors Benefit or one of the 4 tribal programs, you need to return the Lifeline application and official documents as proof. 
    • The Low Income Home Energy Assistance Program, Temporary Assistance for Needy Families or National School Lunch Program’s free school lunch, you need to call 1 800 VERIZON 1.800.837.4966 and request a New York State Program Lifeline application. After you complete the application, you’ll need to return it with official documentation to the Verizon address on the application.  See below for the full list of accepted documents. Do not send original documents, as they will not be returned.
  • If you reside in Connecticut, return the Lifeline application with the official documents to:

    Verizon Lifeline Services
    P.O. Box 16805
    Newark, NJ 07101-6805
    CT customers only - If you prefer to fax your information, please fax your Lifeline application with the required official documents to Verizon at 1.877.306.2190.

  • If you reside in Massachusetts, Maryland, New Jersey, Pennsylvania, North Carolina, Delaware, Washington D.C., Rhode Island, New York, and Virginia return the Lifeline application with official documents to:

    USAC
    Lifeline Support Center
    P.O. Box 1000
    Horseheads, NY 14845

Proof documents (if required)

 

  • SNAP – award letter, pay or benefit statement
  • Medicaid – award letter
  • SSI – federal Social Security Administration SSI award letter, pay or benefit statement
  • Federal Public Housing Assistance (FPHA) – award letter, lease agreement or benefit statement
  • Veterans Pension or Survivors Benefit
    • pension grant letter listing the name, address and monthly payment
    • Cost of Living Adjustment (COLA) letter
    • survivors benefit summary letter listing the beneficiary name, address and monthly payment
  • Tribal Land (Massachusetts, Rhode Island, New York)
    • Bureau of Indian Affairs (BIA) General Assistance award letter
    • Tribally-Administered Temporary Assistance for Needy Families award letter
    • Tribal Head Start letter listing the name of the child who participates
    • Food Distribution Program award letter from an Indian Tribal Organization (ITO) or another state agency
  • Income
    • prior year’s state, federal or Tribal tax return
    • current income statement from an employer
    • paycheck stub (see note below for requirement)
    • Social Security statement of benefits
    • Veterans Administration statement of benefits
    • retirement or pension statement of benefits
    • unemployment statement of benefits
    • workers’ compensation statement of benefits
    • federal or tribal notice letter of participation in General Assistance
    • divorce decree, child support award
    • other official document containing income information
      Note: If providing a paycheck stub as proof and it does not cover a full year, you must show documentation for three consecutive months within the previous 12 months
  • New York State Lifeline Program
    • Temporary Assistance for Needy Families (New York only) – benefit statement
    • National School Lunch Program’s free school lunch (New York only) - benefit statement
    • Low Income Home Energy Assistance Program (New York only) – benefit statement
What is the Lifeline Discount program?

Lifeline is a government assistance program that offers discounts to qualified low-income customers.