One PLACE, Many BENEFITS,
All Designed for YOU

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Join the millions of Americans on Lifeline program

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WHY USAPHONE

A FREE government wireless service program funded by the Federal Lifeline Program.

What is Lifeline?

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Fill out this quick form to qualify

IMPORTANT: A verification of enrollment will be sent to you by text. Please verify your mobile number is correct

Requires 5G/4G LTE Unlocked AT&T Compatible Phone

Please enter your name EXACTLY as it appears on your photo ID.

Date of birth*

Gender

Ethnicity

Yearly Income

Household Members:

Employment status:

Zipcode

Residence Address*

The above address is your: Permanent Address Temporary Address

What is your shipping address? (Only fill this out if it is not the same as your home address.)

Shipping Street Address

Shipping Apartment # or Suite #

Shipping City

Shipping State

Shipping Zip Code

Select Government Benefit*

What type of phone do you currently use?

iOS

Android

Are you a Current Recipient of Lifeline Benefits?

Yes

I agree to the terms of service and privacy policy.

By clicking this box, I confirm the information I have provided is current and under penalty of perjury, affirm that all of the information entered above is accurate I consent to be contacted by usaphone.org and its affiliated companies via phone, text, or email regarding products and services I may qualify for including, but not limited to, SSDI/SSI benefits assistance, Medicare/Medicaid, auto insurance, debt relief, consumer goods, and educational opportunities. I understand that this consent is optional and not required to apply for or receive Lifeline service. I may withdraw my consent at any time.

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