What You Need to Apply for
Lifeline Cell Phone Service:

Along with your application, send a copy of:

1) Your government issued photo ID or driver's license.

2) An Eligibility Document.

• - Documents must be dated within 12 months of application date.
• - Must Be your documents.
• - Must show your name or your dependent's name.
• - Your name and address must match your state-issued photo ID, or your application will be turned down.

HOUSEHOLD WORKSHEET (IEH FORM)

Household Worksheet
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Oregon Household Worksheet
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Oregon Tribal Household Worksheet
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Your privacy is important to us.

You will be able to submit these documents as part of your application. Rest easy because your documents are always 100% protected under our Privacy Policy.

Click on your state to print a paper application to send in.

NOTE: if your state is not listed here, you should fill out our online form!