Congress recently created the Affordable Connectivity Program (ACP) that will replace the Emergency Broadband Benefit Program (EBB Program). Households enrolled in the EBB Program as of 12/31/21 will continue to receive their current monthly benefit during a 60-day transition period.

The ACP will provide a discount of up to $30 per month towards broadband service for eligible households and up to $75 per month for households on Tribal lands.

Who Is Eligible for the Affordable Connectivity Program?

A household is eligible if one member of the household:

  • Has an income that is at or below 200% of the Federal Poverty Guidelines;
  • Participates in certain assistance programs, such as SNAP, Medicaid, Federal Public Housing Assistance, SSI, WIC, or Lifeline;
  • Participates in Tribal specific programs, such as Bureau of Indian Affairs General Assistance, Tribal TANF, or Food Distribution Program on Indian Reservations;.
  • approved to receive benefits under the free and reduced-price school lunch program or the school breakfast program, including through the USDA Community Eligibility Provision;
  • Received a Federal Pell Grant during the current award year; or
  • Meets the eligibility criteria for a participating provider's existing low-income program.

Learn more at

Get Started

You indicated that you are not currently receiving Lifeline discounts for phone or internet access.


Customer Information

In order to apply and determine your eligibility for the monthly discount on your broadband service, please complete the following questions and then press the submit button.


Do you qualify for the Affordable Connectivity Program based on another member of your household?
Please provide their information.


I agree to all of the following conditions in order to apply for the Affordable Connectivity Program discount:

I acknowledge that by checking this box and the checkboxes below I understand that I agree with and initial each item listed.

For my household, I affirm and understand that the Affordable Connectivity Program is a temporary federal government subsidy that reduces my broadband internet access service bill and at the conclusion of the program, my household will be subject to the provider's undiscounted general rates, terms and conditions if my household continues to subscribe to the service.

I (or my dependent or other person in my household) currently get benefits from the government program(s) listed on this form or my annual income is 200% or less than the federal poverty guidelines.

I agree that if I move I will give my service provider my new address within 30 days.

I understand that I have to tell my service provider within 30 days if I do not qualify for Affordable Connectivity Program anymore, including:

  1. I, or the other person in my household that qualifies, do not qualify through a government program or income anymore.
  2. Either I or someone in my household gets more than one Affordable Connectivity Program benefit.

I know that my household can only get one Affordable Connectivity Program benefit and, to the best of my knowledge, my household is not getting more than one Affordable Connectivity Program benefit. I understand that I can only receive one connected device discount (desktop, laptop, or tablet) through the Affordable Connectivity Program, even if I switch participating providers.

I agree that all of the information I provide on this form may be collected, used, shared, and retained for the purpose of applying for and/or receiving the Affordable Connectivity Program benefit. I understand that if this information is not provided to the Program Administrator, I will not be able to get a Affordable Connectivity Program benefits. If the law of my state or Tribal government require it, I agree that the state or Tribal government may share information about my benefits for a qualifying program with the Affordable Connectivity Program Administrator. The information shared by the state or Tribal government will be used only to help find out if I can get an Affordable Connectivity Program benefit.

All the answers and agreements that I provided on this form are true and correct to the best of my knowledge.

I know that willingly giving false or fraudulent information to get Affordable Connectivity Program benefits is punishable by law and can result in fines, jail time, de-enrollment, or being barred from the program.

I was truthful about whether or not I am a resident of Tribal lands, as defined in this form.

Your Signature

I understand this is a digital signature, and is the same as if I sign my name with a pen.