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BenefitsOfficial formconditional

Lifeline Program Annual Recertification Form

Official owner Federal Communications Commission / USAC

Respond to a USAC request to recertify an existing Lifeline benefit; use the notice and requested channel.

What problem this helps solve

Respond to a USAC request to recertify an existing Lifeline benefit; use the notice and requested channel.

Who completes it: The applicant or an authorized requester, as the official process allows.

What this does not prove

The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.

Dated source check

Official destination checked

The maintained official source was opened and read on September 30, 2026; access is distinct from acceptance or eligibility.

Last checked Sep 30, 2026. A working link does not establish the current edition, suitability, agency acceptance, or service availability.

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Direct document

Before downloading, confirm the agency, form number, and revision date match the summary below.

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Use the official pathway

NOLO's preparation notes summarize the dated sources in this record. Follow the agency's official instructions and current edition when they differ.

1. Check that this route fits

Stage and purpose
Recertification after a notice
Who completes it
The applicant or an authorized requester, as the official process allows.
Jurisdiction
United States (federal program)
Application mode
Online; Paper by mail; Telephone when proof not required

2. Prepare before starting

  • Use the recertification notice; do not start this as a new application.

Documents named by the source

  • Your recertification notice and application ID.
  • Copies of proof documentation only if USAC requests them.
Fees and fee waivers
UNKNOWN — confirm with USAC; phone or internet charges are separate.
Account
Follow notice online route or mail; support center can help reset the account.
Appointment
UNKNOWN / no in-person submission established.
Signature
Paper: initial agreement statements and sign/date page 5; do not use the application signature page.
Third-party certification or assessment
Unknown — confirm any certification, referral, or assessment with the official owner.

3. Follow official submission instructions

Read official instructions
  • Online recertification
  • Mail form and requested copies to Lifeline Support Center, PO Box 1000, Horseheads, NY 14845
  • 855-359-4299 using the notice application ID, only if proof documents are not required

4. Get help or an accommodation

Languages: English and Spanish

Accessibility: External accessibility conformance has not been tested by NOLO.

5. Know the supported next step

  • Keep the notice and submission confirmation. The USAC page states a 60-day response window when asked to recertify; the actual notice identifies your task.

Restrictions and unresolved details

  • Telephone recertification is unavailable when proof documents are required.
  • Month precision: February 2026 approval edition.

The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.

PDF filling support

PDF with fillable fields. Checked 2026-10-05. Signature support and agency acceptance still need confirmation.

Continue with your journey

Return to the connected step to decide what to do next. Opening this record does not complete that step or submit an application. If the official route is unavailable, use the assistance options above or browse help in the journey.

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Form record

Adds to a private plan in this browser tab. Nothing is sent to the provider, and nothing is applied for.

Official title
Lifeline Program Annual Recertification Form
Form number
FCC 5630
Program
Lifeline
Jurisdiction
United States (federal program)
Revision / edition
Feb 2026
Who completes it
The applicant or an authorized requester, as the official process allows.
Signature
Paper: initial agreement statements and sign/date page 5; do not use the application signature page.
Submission methods
Online recertification, Mail form and requested copies to Lifeline Support Center, PO Box 1000, Horseheads, NY 14845, 855-359-4299 using the notice application ID, only if proof documents are not required
Supporting documents
  • • Your recertification notice and application ID.
  • • Copies of proof documentation only if USAC requests them.
Languages
English and Spanish
Accessibility
External accessibility conformance has not been tested by NOLO.

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Source note: The agency determines acceptance, eligibility and processing; opening the route establishes none of those outcomes.

NOLO does not process this form, receive your answers, decide eligibility, or represent the agency. A destination check does not confirm current funding, acceptance, or an outcome.

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