Assurance Wireless Application Pdf Nj
General assistance ga supplemental security income ssi assistance to needy families work first nj tanf wfnj.
Assurance wireless application pdf nj. Click to visit site online application. Click to visit online application eligibility by program. 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.
Signed and completed lifeline application. Application checklist please provide the following. Enrollment is available to individuals who qualify based on federal or state specific eligibility criteria. Lifeline is a government benefit program supported by the federal universal service fund.
The lifeline assistance program is available for only one wireless or wireline account per household. A household is one or more individuals who live together at the same address. 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. Assurance wireless services available.
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. We would like to show you a description here but the site won t allow us. If you need help completing the application or you want to apply over the phone you can call assurance wireless at 1 888 898 4888. Assurance wireless application author.
Assurance wireless is a federal lifeline assistance program brought to you by virgin mobile. I authorize assurance wireless to provide access to or release any records required for the administration of assurance wireless service. Mvp health care assurance wireless application phone virgin mobile. I understand that the completion of this application does not constitute immediate approval for assurance wireless service.
Send in your application with the proof of eligibility from section 2 fax to. The printable safelink application can be printed from any standard inkjet or laser jet printer and can be mailed or faxed for review. If applying based on program eligibility a copy of a program identification card or other social service agency documentation showing current participation. Turn over to complete.
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