Assurance Wireless Application

Assurance Wireless Application Instructions

Did you find our Assurance Wireless application page on a search engine? If so, please have a look at our main page on free government cell phones page as well as our page on Assurance Wireless ! On those pages you can get general information on the free government cell phone program called Lifeline Assistance, and also learn more about Assurance Wireless, a major provider of free government cell phones. Once you’ve done that, you’ll be ready to come back to this page and learn about how to apply for the Assurance Wireless program.

How to Apply to Assurance Wireless

Now that you have read up on free government cell phones, and also learned about Assurance Wireless, you are ready to complete an application to the program. It is very short and easy and should take you about five minutes. There are different applications for each state, but they follow more or less the same model. You must make sure that you fill out the application for your state and that you fill it in completely. If you fill out the wrong application or you leave blanks, your application may experience delays or not be processed at all, and you may not receive a free government cell phone.

When you fill out the application form, you will notice there are four distinct categories to respond to.

Section A: Personal Information

In this section, you will provide your basic information, including your name, a contact phone number, and a home mailing address. Note that this must be a valid U.S. street address. If it is not, you will not qualify for a free government cell phone. The government is not currently allowing P.O. boxes.

Section B: Program-Based Eligibility

There are two main ways to qualify for Lifeline Assistance through Assurance Wireless (or any other provider). One of those methods is program-based eligibility. If you are receiving aid through an approved federal or state program at this time, you should qualify for a free government cell phone. The programs vary by state, so begin by checking your own state’s program-based eligibility list.

Assurance Wireless serves the states on this page, so click the link to make sure you can get Assurance where you live before you apply.

When you are filling out this part of the application, you can check off whichever programs you are currently participating in. Check to see if you need to provide documentation to support your claim. This is only a requirement in certain states.

Section C: Income-Based Eligibility

This is the second method by which you can qualify for Lifeline Assistance. Note that you do not need to meet the eligibility requirements in both Section B and Section C. You need to meet one or the other. Not all states include the income-based eligibility, so check to make sure your state does first.

Depending on the state you live in, you need to be living at or below 100% to 150% (typically 135%) of the Federal Poverty Guidelines. The guidelines vary by state (they are different for Alaska, Hawaii, and California than they are for the rest of the states). So you will need to look up the guidelines for your state.

Input your household income, and be ready to submit proof. Any of the following documents counts as proof of income:

  • Federal or state income tax return for the previous year
  • Past three consecutive months’ of pay stubs
  • Past three consecutive months’ of unemployment stubs
  • Social security benefits statement
  • Retirement/personal benefits statement
  • Divorce decree or child support document

You only need to submit proof of your income in a single form. Make sure it is a photocopy and not the original.

Section D: Signature

Congrats! You are now at the end of your application. Just go ahead and sign (if you are submitting your application electronically, you will sign electronically).

You can send your application in the mail, fax it, or simply use the electronic submission process to send it through. If you need help completing the application, or you want to apply over the phone, you can call Assurance Wireless at 1-888-898-4888.

Please note that in California, the application is called a “Service Request Form,” but it asks for the same information, and is just as fast and easy to complete.

Thank you for visiting our Assurance Wireless application section, and good luck applying for your free government cell phone!