SafetyNet

Dashboard
Topup
Auto Pay
All Invoices
Usage
Manage Cards
Change Address

Change Address

Account

Change Password
Log out

Change Address

Present Service Address - , , ,

Present Mailing Address - , , ,

Service Address

Mailing Address

Both

Address Type *

Permanent Address

Temporary Address

Address Type *

Mailing Address

PO BOX

Zip *

City

State

Address1 *

Address 2

PO BOX *

Someone else currently receives a Lifeline-supported service at your address. Answer the below questions to determine whether there is more than one household residing at your address.

Lifeline Household Worksheet

Federal law allows only one Lifeline service per household. Your household is everyone who lives at your address who shares income and expenses. Failure to complete this form may result in loss of your Lifeline benefits
Q1: Do you live with another adult ? (Adults are people who are 18 years old or older, or who are emancipated minors. This can include a spouse, domestic partner, parent, adult son or daughter, adult in your family, adult roommate, etc)	Yes No
Q2: Do they get Lifeline?	Yes No
Q3: Do you share money (income and expenses) with them? (This can be the cost of bills, food, etc., and income. If you are married, you should check yes for this question)	Yes No
I live at an address with more than one household.
I understand that the one-per-household limit is a Federal Communications Commission (FCC) rule and I will lose my Lifeline benefit if I break this rule.

Message

X

Add any HTML content inside the popup box!

Are you sure to Log out?

Verification required

We've noticed that your email is not verified with us, please take a moment to verify your account.

Click the button below to get an email with further instructions.

Activation required

Your account is not yet fully activated, please click the button below to activate it.