Lifeline Phone Application

Apply for affordable phone service today. Choose the method that works best for you.

Fill out our quick online form below. We'll review your information and contact you within 24 hours.

Fastest Option

Apply directly through the official Lifeline Support website (getinternet.gov). Then visit us to complete activation.

Download a PDF form to fill out at home. Bring the completed form to our office for immediate verification.

Quick Application Form

Fill out this form to get started. We'll contact you within 24 hours to verify your eligibility and complete your Lifeline phone activation.

First Name *

Last Name *

Email Address *

Phone Number *

How do you qualify?

Household Size

Additional Information

Upload at least one document to verify your eligibility. Accepted formats: PDF, JPG, PNG (max 10MB each).

📄

Driver's License

Click to upload

📋

SNAP/Food Stamp Letter

Click to upload

🆔

Social Security Card

Click to upload

📊

Income Tax Return

Click to upload

Documents are securely uploaded and will only be used for eligibility verification.

$25 Administrative Fee applies to all Lifeline phone activations. This covers our local service and personalized support.

We'll contact you within 24 hours to verify your eligibility and complete your activation.

Our team reviews your application and verifies your eligibility information.

We'll call or email you within 24 hours to confirm your eligibility and schedule activation.

Visit our office to complete activation and receive your Lifeline phone. Pay the $25 fee and start saving!

Visit us in person at 2424 East South Boulevard, Montgomery, AL 36116 or submit your application above.