Application Form for Lifeline: Your Step-by-Step Guide

Welcome to the guide to the lifeline application process. The Lifeline program is a federal initiative that makes devices like Samsung or Lenovo tablets, iPads, iPhones, and other smartphones affordable for low-income families. Its application process is quite simple. Before you get started, check your eligibility.

Understanding the Lifeline Application Form

In the Lifeline application form, you must provide personal information about yourself, your household, and your income to verify your eligibility for the program. You can get application forms both online and by mail. However, the application form may vary for different states and providers you are Applying through. But here is the general information required to complete the official Lifeline application form.

Please follow all steps and then apply. First, read and watch the screenshots, then apply. I hope you will get the device you desire.

How to Apply: A Step-by-Step Guide (Online)

Online Application

  1. Go to the Lifeline Support Website: Visit the Website (The link is below the form). Click on “Apply Now”.
apply now Illinois-Specific Programs

2. Select Your State: A new page will open. Select “IL (Illinois)” from the dropdown menu and click “Get Started.”


Submit Your Information: Fill out all the required information on the next page. Make sure to enter a username and password that meet the specified requirements. Provide your contact information and agree to the terms and conditions.

  1. Personal Information:
    • Full legal name
    • Date of birth
    • Social Security Number (SSN) or Tribal Identification Number
    • Current residential address
lifeline form 1
  1. Eligibility Information: You must also provide proof of participation in the following government assistance programs. 

      • Medicaid 

      • SNAP

      • SSI

    • FPHA
  1. Income proof by following the ways
    • Pay Stubs
    • Recent tax returns
    • Benefits statement
  2. Household Information:
    • Names of all household members
    • Whether anyone in the household already receives Lifeline benefits (only one benefit is allowed per household)

Lifeline Program Eligibility Calculator

Check your eligibility for the Lifeline Program by entering your household size, annual income, and state of residence.


  1. Provider Selection:
    • Choose your preferred Lifeline service provider from your area’s list of available companies.
  2. Certification and Signature:
    • Certify that the information provided is accurate and complete.
    • Sign and date the application.


How to Apply (Offline)

  • You need to download the forum 
  • Fill it.
  • Mail Address: Lifeline Support Center PO Box 1000 Horseheads, NY 14845
    Call at: (800) 234-9473
Download Offline Forum

If you’re uncomfortable applying directly with Lifeline, choose from the providers listed above. Visit and apply now to get free government iPhones, tablets, etc. Click here to apply.

Apply today and stay connected with the world!


Tips for Completing the Application:

  • Read carefully: Understand all the questions and instructions before starting.
  • Gather documents: Collect all the necessary proof of eligibility before you begin. Here is the list of Documents you need to complete your Lifeline Application Form. Click Free Tablet: Essential Documents for Successful Application to check these documents.
  • Be accurate: Only provide updated information to ensure accuracy and prevent potential delays.
  • Remember, you’re not alone in this process. If you want to inquire further, don’t hesitate to contact the Lifeline Support Center. They are available 24/7 to assist you in fulfilling your needs.

Ready to Apply?

Once you complete the Lifeline application form, submit it online, via mail, or by visiting the chosen service provider. When your application is approved, you will receive lifeline benefits. Indeed, it’s a valuable resource of telecommunication services for struggling individuals.


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About the Author

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Rebecca C. Adam’s

Rebecca has a Global Tech University Ph.D. in Information Technology and Social Change. She researches how technology can help people and has worked on projects that improve job opportunities and community involvement, helping over 2,000 people. She shared her findings at the 2021 Technology for Social Impact Summit.

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