Sign Up Today!

Call 1.866.966.2628 toll free to speak to an American Assistance representative who can help you through the application process.*


Click here

Click here to fill out an online application.


Download an application

Download an application



To keep the free phone you received in 2013 you MUST recertify by the end of 2014! Click here to fill out the recertification form.

Download an application


Other Applications and Forms:

Multiple Head of Household Application 
TLS Opt Out Request


Please fax your application to 1.877.211.3705.
Or mail your signed application to:
American Assistance
PO Box 577
Toledo, OH 43697


*Offers may vary by State.