Assurance Wireless Application Pdf Nj
I authorize assurance wireless to provide access to or release any records required for the administration of assurance wireless service.
Assurance wireless application pdf nj. I understand that the completion of this application does not constitute immediate approval for assurance wireless service. Assurance wireless po box 686 parsippany nj 07054 9726 to qualify your household yearly income for your household size must be within the ranges listed below. The printable safelink application can be printed from any standard inkjet or laser jet printer and can be mailed or faxed for review. Assurance wireless application author.
If applying based on program eligibility a copy of a program identification card or other social service agency documentation showing current participation. Signed and completed lifeline application. A household is one or more individuals who live together at the same address. Lifeline is a government benefit program supported by the federal universal service fund.
Assurance wireless po box 686 parsippany nj 07054 9726 or fax materials to. You must place a check mark next to all 3 statements then sign and date. Please note that in california the application is called a service request form but it asks for the same information and is just as fast and easy to complete. Application checklist please provide the following.
Assurance wireless services available. Send in your application with the proof of eligibility from section 2 fax to. Mvp health care assurance wireless application phone virgin mobile. This application is for review for the safelink wireless government assistance plan which can get a qualified recipient up to 250 anytime minutes a free cell phone and a texting plan.
If you are eligible for a free government cell phone safelink wireless can provide you with up to 250 free voice minutes and 1 000 texts per month. We would like to show you a description here but the site won t allow us. Turn over to complete. Safelink wireless is the second biggest lifeline assistance cell phone provider in the united states serving more than 4 000 000 customers in 37 states one of which is new jersey.
Click to visit online application eligibility by program. Assurance wireless is a federal lifeline assistance program brought to you by virgin mobile. Click to visit site online application. The lifeline assistance program is available for only one wireless or wireline account per household.
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