Lifeline

Forms

Please Note: We are currently updating the guidance on this page to reflect the rule changes in the 2016 Lifeline Modernization Order. In the meantime, please visit the 2016 Lifeline Order page for relevant information.

ETCs are encouraged to file online.

FCC Form 481

File Online

FCC Form 481 Template

Carrier Annual Reporting Data Collection Form

FCC Form 481 Instructions

FCC Form 481 Upload Templates

FCC Form 497 (For Months August 2012 and Later)

File Online

FCC Form 497

FCC Form 497 (editable)

Lifeline Worksheet

FCC Form 497 Instructions

FCC Form 497 Online Filing Instructions

Establishing User Entitlements

FCC Form 555 (For 2015 Recertification Data)

File Online

FCC Form 555

Filing due date: February 1, 2016

2015 Annual Lifeline Eligible Telecommunications Carrier Certification Form

FCC Form 555 Instructions

FCC Form 555 Online User Guide

Annual Certification Bulk Upload Template

Click here for Prior Year Forms