Fill out the form below. Offers may vary by State.
Lifeline is a government program that provides a monthly discount on home or mobile telephone services. Only ONE Lifeline discount is allowed per household. Members of a household are not permitted to receive Lifeline service from multiple telephone companies.
You may be asked to fill out the this form to determine whether there is more than one household residing at your address.
Mail completed form to:
PO Box 577
Toledo, OH 43697
To speak to an American Assistance representative who can help you through the application process, call 1.877.266.7212 or text us at 866-765-2628.
It is necessary to recertify annually to keep this service. Failure to do so will result in the termination of service and loss of your current phone number. If you are not sure if you need to recertify at this time or not please call customer service at 1.877.266.7212 or text us at 866-765-2628.