You may qualify if you or someone in your household participates in one or more of the following public assistance programs:

  • Supplemental Nutrition Assistance Program (SNAP)
  • Federal Public Housing Assistance Section 8 (FPHA)
  • Medicaid (not Medicare)
  • Supplemental Security Income (SSI)
  • Veterans Pension or Survivors Pension
  • Income at or below 135% of Federal Poverty Guideline

You must be a current recipient of these program(s) and will notify your local telephone company when you are no longer participating in any of the above-designated program(s). You give permission to the duly authorized official(s) administering the eligible programs to provide to the local telephone company your participation status in any of the mentioned program(s). You must give this permission on the condition that the information on the sign-up form and any information about your participation in the eligible programs provided by officials be maintained by the company as confidential customer account information. You must be aware that pursuant to Section 837.06, F.S., whoever knowling makes a false statement in writing with the intent to mislead a public servant in the performance of his or her official duty shall be guilty of a misdemeanor of the second degree.