Assurance Wireless Application – How to Apply

By | February 25, 2014

Assurance Wireless phones is a government phone provider providing  phones and  no-cost cellular or land line services throughout the United States. They are one of the top telecommunications companies in the Lifeline program.

Low-income, residents are eligible for this free service when they qualify financially.  These government phones keep people connected and give them the ability to look for work, call for help in an emergency situation and have access to the assistance they need.

The Assurance Wireless Application form has changed a little.  Today you are now required to provide proof of eligibility, due to abuses in the government phone program.  If you are low-income or enrolled with a federal assistance agency, you must attach proof of financial status with the application.  The application is pretty simple, but you may appreciate a breakdown of the process.

What you get

If you are eligible for the Lifeline program,  you can receive:

  • Free cell phone
  • 500 free minutes every month
  • Unlimited free texts

You will also receive an additional 150 free voice minutes for the first four months of new service.  You have the option of purchasing additional time in the amounts of 5 or $30 or the additional like international calls. You can buy a Virgin Mobile Top-Up cards at any place phones and phone accessories are sold. You can pay with cash credit card or PayPal.

Assurance Wireless Application Questions you must Answer

Section 1 – Request for Personal Information

Enter the State your live in.  Next,  a page to download your application will appear. (on the right)
This part of the Assurance Wireless application is self-explanatory; just fill out the requested blank fields: Last Name, First Name, Date of Birth, Last 4 digits of your Social Security Number, Home phone number and if applicable your E-Mail Address, Physical Address.   Don’t forget Apartment or house number. (check box if address is temporary).

Section A:  Program-Based Eligibility

Here you will find a list of government programs.  Check the box to the right, indicating any programs you are currently where you are receiving assistance.

Section 2. You are Required to Provide proof of program participation, and or gross yearly income such as:

  • Photocopy of your Benefits ID Card
  • A letter from a qualifying agency
  • Statement of your benefits for current or previous year

Section B:  Income Based Eligibility

This is where you will check the box, with your family size and the amount that closest identifies you gross yearly income

Provide 3 months of statements such as:

  • Pay stubs
  • SS Benefits
  • Veterans Benefits Statements
  • Retirement or Pension statements
  • Unemployment Benefits statement

Please provide 1 of each type document:

  • State or Federal Income returns
  • Income statement from job
  • Federal letter of General Assistance
  • Divorce papers or child support documentation

 3.  Security Once you is eligible for the free government cell phone you need to provide a 6 number account pin or Secret Answer to access your account.

UPDATE-  Assurance is a Lifeline supported program. The benefits provided are only eligible to those who qualify.  Anyone willfully providing incorrect information can receive a fine or face imprisonment and barred from the program.  Each household is eligible for one phone and free minutes. These benefits are not transferable to anyone.

**Find other cell phone providers

P.O. Box 7600
Mattoon, IL 61938-9807
Fax 1-877-732-9018

One thought on “Assurance Wireless Application – How to Apply

  1. Pamela Wilson-Lipscomb Post author

    Hi Natasha, that is the reason they call regular mail ‘snail mail’. It can be slow. If you don’t have Internet, go to a library to apply online or download it there.

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