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:

Change of Address

Previous Address

New Address

Required IEH Form

You are required to download the IEH Worksheet and then upload the file below.

IEH Worksheet Upload*
Drop a file here or click to uploadChoose File
Maximum upload size: 5MB

Please Provide Proof of New Address - See Options Below

Please upload and label a proof of address document below. The document must be dated within the past 60 days.
File Upload*
Drop a file here or click to uploadChoose File
Maximum upload size: 5MB
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