Free Phone Program

Professionally Yours has been allowed the priveledge of partnering with the Lifeline program to offer free phones and service to those who qualify. This a FCC benefit program that aims to ensure households that meet the *Eligibility Program* criteria below have affordable phones and service; and now meeting eligibility is easier than ever! If you have questions regarding what documents to submit feel free to reach out to us via email: info@proyoursllc.com. If qualifying by income; please send prior year (2023) Tax Return or last 3 Check Stubs from Current Employer.

First Name*

Last Name*

Date of Birth*

Last 4 Digits of Social Security #*

Primary Phone

Primary Email*

Address Line 1*

City*

State / Province*

ZIP / Postal Code*

Do You Qualify Through A Child?*

Yes

Child's First Name*

Child's Last Name*

Child's Date of Birth*

Last 4 Digits of Child's Social*

Eligibility Program*

Federal Public Housing

Food Stamps (SNAP)

Medical Assistance (Medicaid)

Supplemental Security Income (SSI)

Tribal Benefits

Women, Infant, and Children (WIC)

Veterans Pension Benefits

Federal Pell Grant

Income Based (please submit current year 1040, 3 checkstubs, or letter from employer)

Upload Proof of Eligibility*

Upload Proof of Identification*

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Signature

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I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.”

Lifeline Phone Program

Free Phone Program

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