Lifeline Services How Do I Qualify?

How Do I Qualify?

Based on your income.

You can get Lifeline if your income is 135% or less than the federal poverty guidelines. The guideline is based on your household size and state.

Show proof of income, like three consecutive pay stubs or a tax return, when you apply for Lifeline.

If you use SNAP, Medicaid or other Programs.

Federal Assistance Programs.

You can get Lifeline if you (or someone in your household) participates in one of these federal assistance programs:

• Supplemental Nutrition Assistance Program (SNAP), formerly known as Food Stamps
• Medicaid
• Supplemental Security Income (SSI)
• Federal Public Housing Assistance (FPHA)
• Veterans Pension and Survivors Benefit
• Tribal Programs (and live on federally-recognized Tribal lands)

Show a card, letter, or official document, as proof that you participate in one of these programs when you apply for Lifeline.

Qualify through your child or dependent.

You can sign up for Lifeline if your child or dependent participates in any of the programs listed above.

Limit: One per Household

You are only allowed to get one Lifeline discount per household, not per person.

If someone at your address already gets Lifeline, your company will use a Household Worksheet to see if more than one household lives at your address.

For full details on the Federal Lifeline Program or to download a paper application go to: https://www.lifelinesupport.org/ls/default.aspx

New Mexico Landline residents may also qualify for additional state lifeline benefits. Click the application below to apply.

NM State Lifeline Application (PDF)

Please Note that the communities listed below qualify for lifeline services due to their affiliation with the Valley Telephone Cooperative. If you do not live in one of these communities, you cannot qualify for lifeline services and should not apply.

Arizona: Bonita, Bowie, Duncan, Elfrida, Pearce, Portal, Morenci, San Simon, Sunizona, York/Clifton

New Mexico: Animas, Columbus, Playas, Rodeo, Virden

Step 1:

Apply Now at: www.lifelinesupport.org/get-started/

Step 2:

After applying, fill out and submit the following form: To avoid being denied the benefit, both forms (applications) must contain the exact same information (name, address, etc.).

  I have received approval for the Lifeline Program through the National Verifier. My Application ID is:

   I agree that all the information I provide on this form may be collected, used, shared, and retained for the purposes of receiving the Lifeline Program benefit. I understand that this information will be transmitted to the Lifeline Program Administrator and, if this information is not provided to the Lifeline Program Administrator, I will not be able to receive Lifeline Program benefits. If required by the laws of my state or Tribal government, I agree that the state or Tribal government may share information about my benefits for a qualifying program with the Lifeline Program Administrator. The information shared by the state or Tribal government will be used only to help determine if I am eligible for the Program benefit.

I qualify for the Lifeline Program 
  By Myself    Through a Dependent 

My eligibility requirement is

Supplemental Nutrition Assistance Program (SNAP) Medicaid Supplemental Security Income (SSI) Federal Public Housing Assistance (FPHA) Veterans Pension and Survivors Benefit Income is 135% or less than the federal poverty guidelines  

Name of Dependent's School 

Electronic Signature 

Date 

Name 

Date of Birth 

Last 4 of SSN 

Dependent's Name 

Dependent's DOB 

Dependent's Last 4 SSN 

Address 

City 

State 

Zip 

Account Number 

Email 

Have you been a previous Valley Customer?

Yes No