www.californialifeline.com Renewal Form 2022 : Complete your form | California LifeLine Program

www.californialifeline.com Renewal Form 2022 : Complete your form | California LifeLine Program

The California LifeLine Program (California LifeLine) is a state program that provides discounted home phone and cell phone services to eligible households. The California LifeLine discounts help consumers lower the cost of their phone bills. Only one discount per household is allowed (except for teletypewriter users and for Deaf and Disabled Telecommunications Program participants). Each household must choose to get the discount either on a home phone or on a cell phone, but not on both.

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There are two ways to qualify for the program.

Renewal Form 2022

You may also Apply Online

If you think you qualify for California LifeLine, contact and inform your home or cell phone company you want to apply for California LifeLine. The home or cell phone company must be an approved California LifeLine telephone service provider. Once you tell the home or cell phone company that you qualify, it will begin the application process for you. Click on Provider Search to find out the home and cell phone companies approved in your area. Check out the Application Instructions for more details.

If you currently do not have home or cell phone service, you can contact the California LifeLine Call Center to determine the available phone companies in your area. If you have any questions about your application, status, or due dates, please call the California LifeLine Administrator’s hotline.

Sample Forms

The forms and instructions on this page are in Adobe Acrobat formatIf you do not have the Acrobat Reader installed on your PC, select the Adobe image below to download your free copy of Adobe Reader.

California LifeLine Eligibility Guidelines for Applicants

California LifeLine Application Form (New Applicants)

California LifeLine Eligibility Guidelines for Renewals

California LifeLine Renewal Form (Renewing Participants)

Multiple Household Worksheet

ID Authentication Form

Types of Discounts Available

Discounted home phone services available to California LifeLine participants may include the following:

  • Monthly flat rate service discount of up to $16.23*

  • Monthly cell phone service discount of up to $16.23**

  • Service connection discount of up to $39

  • Service conversion discount for home phone services of up to $39

  • Free from paying the public purpose program surcharges, CPUC’s user fee, federal excise tax, local franchise taxes, and State 911 tax associated with your phone service

  • Discounts on two telephone lines if you use a teletypewriter (TTY) or are part of the Deaf and Disabled Telecommunications Program. If you use a TTY, you must have immediate and continuous access to it. If the Deaf and Disabled Telecommunications Program did not give you other proof, provide a copy of a medical certificate indicating your need for a TTY is required to receive the discount on the second home phone line.

Income-Based Qualification Method:

You can qualify for California LifeLine if your household’s total annual gross income is at or less than these annual income limits:

 

 Household Size Annual Income Limits
 1-2 $28,700
 3 $33,300
 4 $40,600
 Each Additional Member $7,300
Effective June 1, 2022 to May 31, 2023 
Documentation is required to show your household’s total annual gross income meets the annual income limits if you are qualifying by Income-Based.

Application Process

how to apply diagram

 

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