Change of Address Form

Use the form below to report a change of address relating to your Lifeline benefit.

Have questions? Email Us: compliance.audit@assistwireless.com
 

Accepted Forms of Change of Address Verification:

MUST UPLOAD ONE OF THE ACCEPTABLE FORMS OF PROOF:

  • Utility Bill (dated within the last 60 days)
  • Income Statement or Pay Stub (dated within the last 60 days)
  • Current Mortgage or Lease (NOT HANDWRITTEN, dated within the last 60 days)
  • Benefit Statement (dated within the last 60 days)
  • Retirement/Pension Statement (dated within the last 60 days)
  • Unemployment/Worker’s Compensation Statement (dated within the last 60 days)

 

Please Submit Your Change of Address Information Below: