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California Lifeline Application Form PDF

California Lifeline Application Form PDF

Use a california lifeline application template to make your document workflow more streamlined.

Step 5, initial ALL numbered items (1-13) • Fill in ALL requested information in Step 7 • Include in the application at least one photocopy of an acceptable proof of eligibility First Name Last Name Home Phone # Driver’s License # Are you a current Cox Customer? YES NO Residential Street Address (no P.O. Boxes) City State This Residential address is Permanent Zip Temporary Billing Address City State Zip IMPORTANT DISCLOSURES • • • • • • Lifeline is a federal benefit. Willfully...
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Video instructions and help with filling out and completing California Lifeline Application Form PDF

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Instructions and help about cox lifeline application

if you have received this envelope it's time to renew your California lifeline free cell phone inside you will find your renewal form as you can see it gives you a limited amount of time to renew you will need the California lifeline website and PIN number to renew on this page you will scroll down until where it says apply and renew online click on the keyboard image on the new page you will scroll down and then put your phone number and your PIN number in the center box you will enter your PIN number that was on your application then you will click on the black box login on the new page you will have to identify your information in the first box it asks for your name find your name and fill select the bubble next to it in question 2 it asks for the last four of your social in box 3 it asks for your birthday and you have to input the two month to date 4 year format in the last section it asks for you to find your address select the bubble next to your address then hit the blue box dep

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