Lifeline Agent Application

THIS OFFERING IS A FEDERAL LIFELINE SUPPORTED SERVICE provided by Assist Wireless, LLC. Lifeline is a government assistance program that provides discounts on your monthly phone and/or broadband/Internet service. Only eligible consumers may enroll.  Eligibility is based on income or participation in certain government benefit programs and is determined by the National Verifier (documentation may be required). The Lifeline benefit is non-transferable and is limited to one monthly discount per household for either wireless or wireline service. For Lifeline eligibility criteria and applicable terms and conditions, visit https://www.assistwireless.com/terms-and-conditions/. PROMOTIONAL OFFER SUBJECT TO ELIGIBILITY FOR AFFORDABLE CONNECTIVITY PROGRAM (ACP) AND LIFELINE. Promotional FREE service and/or phone offers are subject to eligibility for ACP monthly service discount benefit. ACP is a federal government program operated by the FCC. Eligibility is based on income less than or equal to 200% of the Federal Poverty Guidelines or participation in Lifeline, Medicaid, SNAP, WIC, free or reduced-price school lunch/breakfast, or Pell Grant and is determined by the National Verifier (documentation may be required).  An eligible household is limited to one monthly service discount and a single one-time device discount. Connected device benefits require a co-pay of at least $10.01 plus tax and fees where applicable. Monthly service benefits may be transferred to another provider subject to applicable regulatory restrictions. When the ACP ends or your household is no longer eligible, customers will be subject to our regular undiscounted rates. For more information about ACP eligibility criteria, applicable terms and conditions, and the program go to https://www.assistwireless.com/affordable-connectivity-program/ or call us at (855) 392-7747. FREE PHONE OFFER with qualifying NEW Lifeline and Affordable Connectivity Program enrollment only. Offer not available for existing Assist Wireless customers. OFFERS MAY VARY BY STATE and service may not be available in all areas. Promotional offers may be modified or withdrawn at any time. TAXES AND FEES included with service plan pricing. EMERGENCY SERVICES.  Coverage limitations of wireless mobile phone service may affect access to E-911 and/or 911 in the event of an emergency. Wireless service may also experience interruptions due to weather conditions, terrain, or gaps in service coverage. If you remove your Assist Wireless handset from your home, other family members in your household may not be able to reach 911 emergency services.  BROADBAND DATA. Service plan-specific terms and conditions limit the amount of high-speed data included with each service plan. Videos stream at DVD quality (480p).  After high-speed data thresholds are reached, data speed will be reduced at increments in accordance with service plan details to as low as 256Kbps. Lower speeds may affect audio and video streaming, access to certain websites and content, or the use of applications. Plans including Unlimited Data may be placed on hold to confirm data usage complies with our Acceptable Use Policy (AUP) when the threshold outlined in the service plan details has been met. Customers using data consistent with AUP may receive unlimited additional data in 500MB increments for the rest of the month by contacting Customer Care at (855) 392-7747. SERVICES AND DEVICES subject to Terms and Conditions and Agreement to Arbitrate Disputes and Judge or Jury Trial Waiver available at  https://www.assistwireless.com/terms-and-conditions/ . Service plan details are available at: https://www.assistwireless.com/lifeline-plans/