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Lifeline Forms

The FCC mandates that all Lifeline Government assistance applicants must submit a signed Lifeline Certification form.
If you placed your order using the on-line ordering process you have probably already submitted the Lifeline form as part of that process.
If you placed your order over the phone or, otherwise need to submit a Lifeline certification form for an order that you have already placed, you can do so here.

There are two methods available for submitting the form, either one is acceptable.
Method 1: Log into our customer portal and complete the form on-line
or, you can
Method 2: Download the paper form, print it out, fill it out, then return it to us.

Method 1: On-Line Lifeline Form using the Customer Portal
Click your state below to go to the customer portal login. Not all states have an on-line form available so, if yours is not listed, use Method 2.
Once logged in, look for the "Update my Lifeline Information" link in the "Lifeline" section. Follow that link to submit a new lifeline certification.
Alabama Georgia Missouri Tennessee
Arkansas Illinois Mississippi Texas
California Indiana    
Colorado Louisiana Ohio  
Florida Michigan South Carolina (Global Conn Only)
If this is the first time your are using the customer portal, you will need your customer account number. When you get to the login screen, click the "register" link at the bottom. Enter your account number, zip code, and email address into the appropriate fields, then click submit. Your account password will be emailed to you. Use that password to then log into your account.
Once logged in, look for the "Update my Lifeline Information" link in the "Lifeline" section. Follow that link to submit a new lifeline certification.
Method 2: Download Paper Form to Fill Out and Return
Click your state below to get the proper form to fill out.
Once you pull up the form, print it out, fill it out and sign it, then return it to us. See the instructions below for returning the form to us.
Alabama Georgia Louisiana Oklahoma
Arkansas Illinois Michigan South Carolina (Global Conn)
California Indiana Missouri South Carolina (Tempo/NOW Customers)
Colorado Kansas Mississippi Tennessee
Florida Kentucky North Carolina Texas
    Ohio Wisconsin
To return the completed form to us, use one of the following methods:
  • Fax it to the number on the form or to 1-866-700-4736.
  • Scan it into your computer and email it to ecmorders@gmail.com
  • Take a close-up, high resolution photo then Text it to ecmorders@gmail.com (You would enter that email address into the "To" field where the phone number would normally go)
  • Mail it to the address on the form.

If you haven't ordered your service yet, go here and order on line.