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Annual Certification

If you are a customer of Assurance Wireless, a Lifeline Assistance program, we are happy to serve you. Each year, Federal and/or State regulatory authorities require that customers certify their eligibility for the Lifeline Assistance program within 60 days of their annual enrollment.

If you have any questions, please contact us at 1-888-321-5880. Thank you for taking the time to complete the certification process.

Certify

Assurance Wireless 10 digit phone number  -   - 


By checking the checkbox and clicking the “Submit” button below, I hereby certify, under penalty of perjury, to the following five statements:

1)  I acknowledge that providing false or fraudulent information in order to receive Lifeline Assistance is punishable by law.

2)  I currently participate in one or more of the Lifeline-qualifying public assistance programs or qualify for Lifeline based on household income.

3)  I understand that Lifeline is only available for one phone line per household, whether landline or wireless. I am the head of household and will only receive Lifeline from Assurance Wireless.

4)  I am personally eligible for Lifeline and my Assurance Wireless service has not been transferred to me by any third party, and I will not transfer my service.

5)  I will notify Assurance Wireless immediately if I no longer qualify for Lifeline, or if I have a question as to whether I would still qualify.


   I also acknowledge that providing false or fraudulent documentation in order to receive Lifeline Assistance is punishable by law and the penalties of perjury include monetary fine and potential imprisonment.



   
 
   
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