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Recertification form (form 5630) recertification form recertification form (spanish) due date annually on anniversary date: To get this benefit, your household must still qualify by program or by income. Web complete california lifeline application form pdf online with us legal forms. The advanced tools of the editor will direct you through the editable pdf template.
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Web the forms and instructions on this page are in adobe acrobat format. Make sure that your signature is very clear and legible. Once you receive your free phone from assurance wireless, follow the instructions to activate it immediately so you can get lifeline approval from the california lifeline administrator and start calling, texting and surfing the. Easily fill out pdf blank, edit, and sign them.
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