Lifeline Self Certification Forms

(required for assistance plans)

(Adobe reader required to open forms)

Florida
Alabama
Kentucky
Georgia
Louisiana
Mississippi
North Carolina
Oklahoma
South Carolina
Tennessee

1000 Min Long Distance

$19.99 / mo

Supported Services

• Voice grade access to the public switched network
• Local usage
• Dual ton multi-frequency signaling or its functional equivalent
• Single-party service or its functional equivalent
• Access to emergency services
• Access to operator services
• Access to interexchange service
• Access to directory assistance
• Toll limitation for qualifying low-income consumers

Government Assisted Home Phone Service!

• Free Activation
• Free Month of Service
• Free Long Distance

This offer is valid to those receiving Government Assistance and living in the AT&T (formerly BellSouth) service areas of Florida, Alabama, Arkansas, Louisiana, Indiana, Georgia, North Carolina, South Carolina, Ohio, Oklahoma, Tennessee, Kentucky, Michigan, Mississippi, Missouri, and Texas.
Basic Service starting the second month is just $1.95/mo in Oklahoma, $6.99/mo in Texas, $16.50/mo in Tennessee and Mississippi, other states from $19.95.

or CALL our Sales Hotline

Qualifying Government Assistance Programs

• Medicaid
• Food Stamps
• Temporary Assistance to Needy Families / AFDC (TANF)
• Supplemental Security Income (SSI)
• Federal Public Housing (Section 8)
• Low Income Energy Assistance Program (LiHEAP)
• State Means Test (OPC or TRA Certified)(except AL)
• National School Lunch's Free Lunch Program (NSL) (except AL)

If you are participating in one or more of the above programs, you qualify for government assisted home phone service. You'll then need to fill out the certification form (links at left) and mail or fax it to us.

Texas customers must certify with the Texas PUC appointed Low Income discount administrator (LIDA) using the LITE-UP form
(form must be filed with LITE-UP Texas as per instructions on the form)

Once we receive the signed form with the appropriate documentation, or, for Texas customers receive notification from the LIDA, we'll put you on our assistance program and you're monthly bill for basic service will be reduced by up to $17

FREE activation is not available to customers who have already taken advantage of our FREE activation promotion in the past or who have received discounted or free activation from another carrier using government Link-up assistance.

FREE activation is for the phone service only. If you're ordering other services like Long Distance or Internet Access, we must receive payment for that portion before placing the order.