The Lifeline Household Worksheet helps to determine if more than one person in your household receives Lifeline. It asks you three questions regarding your household, and you may be required to complete and submit this worksheet in order to sign up for the Lifeline program, or complete your Annual Recertification.

Lifeline is a government benefit program that provides free or discounted landline or wireless phone services. One Lifeline benefit is allowed per household, and members of a household are not allowed to receive Lifeline from more than one provider.

Click here to download the Household Worksheet now.