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How do I fill this out?
To fill out this file, gather all required documents to prove eligibility. Ensure you understand the necessary proof of identity, address, and benefits. Follow the instructions carefully to complete the application.

How to fill out the Free Cell Phones Through Assurance Wireless?
1
Check your eligibility for the Lifeline Assistance Program.
2
Gather required documents including photo ID and proof of address.
3
Complete the application form with accurate information.
4
Submit the application by the specified deadlines.
5
Follow up to ensure your application has been processed.
Who needs the Free Cell Phones Through Assurance Wireless?
1
Low-income families who qualify for government assistance.
2
Individuals receiving Medi-Cal benefits to stay connected.
3
Veterans accessing their benefits through EBT.
4
Households struggling to afford a mobile phone.
5
Anyone in need of a reliable communication tool.
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What are the instructions for submitting this form?
To submit this form, email your completed application to sandiego@scdd.ca.gov. You may also fax it to the local office or drop it off in person at the State Council on Developmental Disabilities located at 8880 Rio San Diego Drive, Suite 250, San Diego, CA 92108. Ensure you have all required documentation attached and accurate contact information for further processing.
What are the important dates for this form in 2024 and 2025?
Important dates for the Lifeline Assistance Program include application deadlines on April 10 and April 17 for this year.

What is the purpose of this form?
The purpose of this form is to provide an application process for eligible households to obtain free mobile phones. This service ensures that low-income individuals have access to adequate communication tools. By participating in the Lifeline Assistance Program, users can stay connected without the burden of phone costs.

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

- 1. First Name: Applicant's first name as it appears on ID.
- 2. Last Name: Applicant's last name as it appears on ID.
- 3. Address: Current residential address of the applicant.
- 4. Date of Birth: Applicant's date of birth.
- 5. Social Security Number: Last four digits of the applicant's Social Security Number.
What happens if I fail to submit this form?
If you fail to submit this form, you may lose your opportunity to receive a free phone. It's important to submit all required information by the specified deadlines. Missing information could lead to delays in processing your application.
- Missing Documentation: Not providing the required documents can result in rejection.
- Incorrect Information: Providing incorrect details may cause application delays.
- Late Submission: Submitting after the deadline means you cannot apply for this cycle.
How do I know when to use this form?

- 1. Low-Income Support: This form provides access to phone services for low-income households.
- 2. Government Assistance: Applies when receiving benefits from government programs.
- 3. Transition Needs: Use when experiencing a significant financial transition.
Frequently Asked Questions
How can I apply for a free phone?
You can apply by filling out the form with the necessary documentation.
What documents do I need?
You need a valid photo ID, proof of address, and documentation of benefits.
Where can I submit my application?
Applications can be submitted via email or in person at specified locations.
Can I change my application after submission?
Yes, you can edit your application if it has not been processed yet.
Is there a deadline for submission?
Please refer to the document for specific application deadlines.
How will I know if my application is approved?
You will receive a notification via email or mail regarding the status.
Can I get support while filling out the form?
Yes, assistance is available through local community organizations.
What should I do if my application is denied?
You can appeal the decision or reapply if circumstances change.
How can I access the PDF editor?
Simply use our platform to load your document for editing.
Is there a limit to the number of documents I can edit?
No, you can edit as many documents as needed on PrintFriendly.
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