Lifeline

Lifeline Service Disclaimer & Customer Acknowledgement

Terms and Conditions:

Lifeline is a government program that reduces your broadband internet access or phone service bill. If you transfer your benefit to any provider but continue to receive our service, or if you are de-enrolled from Lifeline you will be subject to our undiscounted rates and general terms and conditions. You may file a complaint against any provider via the Commission’s Consumer Complaint Center, which is available at FCC Consumer Complaint Center. After you apply for Lifeline, Sparklight will transmit your information to the National Lifeline Accountability Database (NLAD) to confirm eligibility and your consent for Sparklight to send the request. The NLAD is maintained by the Universal Service Administrative Co., which serves as a third-party administrator for Lifeline benefits.

For a transfer:

“I authorize Sparklight to transfer any pre-existing Lifeline program benefit with another carrier to my Sparklight account, subject to all terms and conditions described in this application. I acknowledge that I can only have one Lifeline discount and any pre-existing Lifeline discount with another carrier will cease when this transfer becomes effective.”

Sparklight must submit the following information to the National Lifeline Accountability Database to verify your eligibility and as part of the ongoing administration of the Lifeline program:

Your full legal name; The last 4 digits of your Social Security Number (or Tribal ID); Date of birth; Your full residential address; The telephone number associated with the Lifeline service; The date on which the Lifeline service was initiated; The date on which the Lifeline service was terminated (if applicable); The amount of Lifeline service support being sought for the subscriber; and The means through which the subscriber qualified for Lifeline service (program or income-based: Medicaid, SNAP, etc.)

By signing this authorization, I confirm I have read and understand the disclosures provided above and hereby consent to Sparklight providing the information described above and below to the Lifeline Service Administrator for inclusion in the database, and hereby consent to transmission of the information for purposes allowed by law relating to the administration of the Lifeline program. (Failure to provide consent will result in a denial of or de-enrollment from Lifeline service).