Secure Application Portal - Free Government Phones

Step 1: Contact & Identity Verification

Provide details matching your official state identification.

First Name

Last Name

Date of Birth

SSN (Last 4 Digits)

Email Address

Residential ZIP Code

Physical Street Address

Step 2: Benefit Qualification Details

Select the pathway you qualify under (choose all that apply):

Supplemental Nutrition Assistance Program (SNAP / Food Stamps) Medicaid / State Medical Assistance Plans (e.g. Medi-Cal) Supplemental Security Income (SSI) Federal Public Housing Assistance or Section 8 Veterans Pension and Survivors Benefit Plans Special Supplemental Nutrition Program for Women, Infants, & Children (WIC) National School Lunch Program (Free or Reduced-Price) My household qualifies based on annual income limits (at or below 135% / 200% threshold)

Step 3: Document Verification Upload

Upload a scan, photo, or PDF proof showing your name, qualifying program name, and date of eligibility (within 12 months).

📁 Click to upload or drag documents here

Accepted formats: JPEG, PNG, PDF. Max file size: 10MB.

Step 4: Formal Certification & Sign

Penalty of Perjury Warning: Under federal law, willfully providing false information on this application to claim subsidized communications benefits is subject to criminal prosecution, fines, or prison.

I certify under penalty of perjury that the information supplied on this application form is true and accurate. I confirm that this is the only Lifeline communication benefit active for my household. I understand that I am required by law to recertify my eligibility status annually.

Digital Signature (Type Full Legal Name)

✓

Application Submitted

Your eligibility verification request has been successfully transmitted to the National Verifier directory system.

Application Tracking ID:

NV-2026-XXXXX

What happens next? Within 24-48 hours, you will receive an approval email from your state's certified telecommunications provider containing tracking details. Your smartphone device or SIM card package is expected to ship in 3-5 business days.