As part of the requirements for receiving Lifeline government assistance on your phone service,
you will need to provide proof of eligibility. The type of proof depends on your qualification method. Acceptable forms of
proof and methods for getting that proof to us are outlined below.
Acceptable Forms of Proof
If qualifying based on participation in a government assistance program,
(like SNAP, Medicaid, etc.) we will need proof that you are in that program. Choose a form of proof from the
"Proof of Participation" column below.
If qualifying based on household income level, we must receive proof of income. Choose a form of proof
from the "Proof of Income" column below.
Proof of Participation
Proof of Income
Program participation card / document.(e.g. Supplemental Nutrition Assistance Program (SNAP)
Medicaid participation card (or copy therof))
The current or prior year's statement of benefits from a qualifying state, federal, or Tribal program
Notice letter of participation in a qualifying state, federal, or Tribal program
Other Official Document evidencing participation in a qualifying program
Prior Years state, federal, or Tribal tax return
Current income statement from an employer or paycheck stub
Social security statement of benefits
Veteran's Administration statement of benefits
Retirement / Pension statement of benefits
Unemployment / Workmen's comp statement of benefits
Federal or Tribal notice letter of participation in General Assistance
Divorce Decree, child support award, or other official document containing income information for at
least 3 months' time.
You may scan, make a copy, or take a picture of any of the above acceptable
forms of proof, then send it to us.
Methods to Deliver Proof
If faxing, emailing, or texting the document to us, please be sure to include your name and new
account number at the top of the fax document, or in the body of the email or text.
Text picture of proof doc to: firstname.lastname@example.org(You will enter this email address in the "To" box where you would normally put the telephone number)
Fax document to:
Email a pdf, picture of document, or scanned document to:
Providing landline service in Alabama, Arkansas, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri,
North Carolina, Ohio, Oklahoma, South Carolina, Tennessee, Texas, and Wisconsin