FCC Emergency Broadband Benefit Program Application Form
This document provides essential information and instructions for the Emergency Broadband Benefit Program application. It offers guidance on eligibility, application procedures, and important details you need to know. Complete this form accurately to receive your broadband and device benefits.
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How do I fill this out?
To fill out your EBB Program application, start by accessing the form and reviewing the required information. Make sure to use capital letters and provide accurate details. Don't forget to initial each agreement statement and sign the designated section.

How to fill out the FCC Emergency Broadband Benefit Program Application Form?
1
Access the FCC Form 5638 and review the instructions thoroughly.
2
Fill in your personal information accurately in the required fields.
3
Initial each statement of agreement in the appropriate sections.
4
Provide any necessary verification documents if requested.
5
Sign and submit your application as directed.
Who needs the FCC Emergency Broadband Benefit Program Application Form?
1
Low-income families seeking internet access for education.
2
Individuals experiencing unemployment due to the COVID-19 pandemic.
3
Tribal communities looking for broadband connectivity.
4
Students requiring devices for remote learning.
5
Senior citizens needing assistance with technology access.
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1
Open the PDF document on PrintFriendly.
2
Utilize the editing tools available to modify your application details.
3
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4
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5
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What are the instructions for submitting this form?
To submit your EBB Program application, either mail the completed form to the USAC Emergency Broadband Support Center at P.O. Box 7081, London, KY 40742 or use the online portal at GetEmergencyBroadband.org for a faster process. For additional assistance, call 1-833-511-0311 for guidance from the Emergency Broadband Support Center. Make sure to include any required identification documents to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
The EBB Program is currently set to expire when funds are exhausted or six months after the health emergency ends. Keep track of announcements from the FCC regarding any updates. Stay informed about deadlines to ensure timely application.

What is the purpose of this form?
The purpose of the FCC Form 5638 is to facilitate access to the Emergency Broadband Benefit Program for eligible households. This program aims to provide financial assistance for broadband services to low-income consumers affected by the COVID-19 pandemic. By applying for this benefit, households can ensure they have the necessary internet connectivity to support education, employment, and healthcare access.

Tell me about this form and its components and fields line-by-line.

- 1. Full Legal Name: Your official name used on government ID or legal documents.
- 2. Phone Number: Your contact number for communication.
- 3. Date of Birth: Your birth date to verify age eligibility.
- 4. Email Address: Optional contact for application updates.
- 5. Identity Verification: Details for verifying your identity using SSN or other IDs.
- 6. Home Address: Physical address where broadband service will be used.
- 7. Temporary Address: Checkbox to indicate if you are at a temporary address.
What happens if I fail to submit this form?
Failure to submit the EBB Program application correctly can lead to delays or denial of benefits. It's crucial to ensure all required fields are accurately completed to avoid any issues.
- Incomplete Application: Missing information can result in delays or rejection of your application.
- False Information: Providing inaccurate details may lead to legal repercussions.
- Missed Deadlines: Not submitting on time can cause loss of the opportunity for benefits.
How do I know when to use this form?

- 1. Low-Income Qualification: Use this form if your household meets low-income guidelines.
- 2. COVID-19 Impact: Apply if you have been financially impacted by the pandemic.
- 3. Broadband Access Needs: Fill out this form to secure funding for necessary broadband services.
Frequently Asked Questions
How do I apply for the EBB Program using this form?
Fill out the required sections accurately and follow the provided instructions.
What document should I include with my application?
Include any identification or income proof as requested.
Can I apply online instead of using this form?
Yes, you can apply online at GetEmergencyBroadband.org.
How long will the application process take?
Processing times may vary, but completing the form correctly will expedite your application.
Is there a cost to apply for the EBB Program?
No, applying for the EBB Program is free of charge.
What happens if I provide incorrect information?
Providing false information may result in losing your benefits and other legal actions.
Can I apply if I already receive Lifeline benefits?
Yes, the EBB Program is separate from the Lifeline Program, and you can receive both.
Is my benefit transferable?
No, benefits are non-transferable and can only be used by the eligible household.
What should I do if I have questions while filling out the form?
Call the Emergency Broadband Support Center at 1-833-511-0311 for assistance.
Where can I find my service provider's participation status?
Check with your service provider directly to see if they participate in the EBB Program.
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