Apply for California Lifeline Service

Free government-subsidized wireless service for eligible California residents.

1Your Info

2Address & Eligibility

3Consents & Sign

Personal Information

First Name *

Last Name *

Middle Name

Date of Birth *

Last 4 of Social Security Number *

Phone Number *

Email Address *

Address

Street Address *

Apt / Unit (optional)

City *

ZIP Code *

Eligibility

Qualifying Program *

Household Size *

California Lifeline Transfer

Are you currently receiving California Lifeline benefits from another carrier? *

⚠ Caution: If you enter the wrong provider name the transfer will NOT complete and you cannot transfer to any carrier for 24 hours. To verify, call 877-858-7463 (Mon–Fri 7am–7pm) or log in at californialifeline.com.

Current California Lifeline Provider *

Required Consents

Lifeline Disclosures & Certifications

Lifeline is a government benefit program from the FCC providing discounts on broadband and/or voice services. Providing false information to obtain this benefit can result in fines, imprisonment, de-enrollment, or being barred from the program.

One Benefit Per Household: Only one Lifeline benefit is allowed per household. Receiving benefits from multiple providers violates FCC rules and will result in de-enrollment.
Eligibility and Verification: Eligibility is determined through the National Verifier (USAC). Call 888-224-3213 or visit usac.org/lifeline.
Terms and Conditions: By submitting, you agree to SafetyNet Wireless’s Terms and Conditions available at safetynetwireless.com.

Certifications — by continuing you certify under penalty of perjury:

I meet Lifeline’s income-based or program-based eligibility criteria per FCC rule 47 C.F.R. § 54.409.
I will notify SafetyNet Wireless within 30 days if I no longer qualify or if my household receives more than one Lifeline benefit.
If I move, I will provide my updated address to SafetyNet Wireless within 30 days.
My household will receive only one Lifeline service and to the best of my knowledge is not already receiving one.
The information provided is true and correct, and I understand false statements are punishable by law.

Applicant’s Signature *