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Qualify for a Free Cell Phone w/ Free Mobile Service!

Qualify for a Free Cell Phone w/ Free Mobile Service!

Are you interested in a cell phone with free mobile service? Through our Statewide Lifeline Program, you are eligible to receive one (1) device through your existing government benefits or with proof of a low-income status. Please fill out and submit this short form, and an administrator will reach out to you afterwards. Thanks!
10Questions
  • 1
    Please provide the residential address where your services are registered and receiving mail at.
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  • 2
    Identifying Information That Your Benefit Provider Has | Please Provide All Requested Information!
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  • 3
    Please enter the last four (4) digital of your Social Security Number.
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  • 4
    Please enter your date of birth (DOB).
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  • 5
    Please select one or more options.
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  • 6
    Attach documents such as a Medicaid Card or SNAP Benefits Award Letter. If you do not have proof, please call us @ 512-953-3980.
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    Select files to upload
    Max. file size: 10.6MB
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  • 7
    Attach documents such as a State or Federal Identification Card or Driver's License, Travel Passport, or Birth Certificate. If you do not have proof, please call us @ 512-953-3980.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 8
    Would You Want a New Cell Phone w/ Free Cellular Service for five (5) years, for a one-time copay of $20?
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  • 9
    If so, please enter their name below.
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  • 10
    After confirming, press SUBMIT and allow an administrator to get in touch with you.
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