California Lifeline Application

Agent: "Hello, my name is [Agent Name], and I'm calling from ConnectTo Communications, a certified provider of California Lifeline services. I'm calling to help you see if you qualify for a free or low-cost phone service plan through the California Lifeline Program. This program provides Unlimited Talk, Text, and Data options to eligible customers. It only takes a few minutes — can I help you check your eligibility now?" 1. Verify Eligibility Agent: "Let’s start with a few questions to verify your eligibility."

Step 1: Personal Info

First Name: Last Name: SSN: Date of Birth: Next

Agent: "Next, I’ll need your home address. This must be where you live, and not a P.O. Box."

Step 2: Address Information

Street Address: Apartment/Unit Number: City: Select a state: Select state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Previous Next

Step 3: Contact Info

Email Address: Phone Number: Previous Next

Step 4: Device, Number, and Plan Choice

Now let’s choose your phone service options.

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Step 5: Agent Submission ID

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Step 6:Review

Agent: "Everything looks good! Now I’ll submit your application to California Lifeline for processing."

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