COVID-19 Update: USAC remains open for business—Washington, DC office closed. Learn more about USF program responses

Forms

Service providers must file all FCC forms electronically. Paper forms are for reference only.

Consumers may complete online or paper forms.

Service Providers

Lifeline Claims System
File online (use E-File credentials)
Due Date
8th of each month for same-month payment
Who Must File
Service providers participating in the Lifeline Program
Learn more
LCS User Guide
LCS Upload Validation Rules
FCC Form 481
File online
FCC Form 481
Due Date
July 1
Who Must File
High Cost and Lifeline recipients
Learn more
FCC Form 555
File online
Due Date
January 31
Who Must File
All Lifeline service providers to report recertification and non-usage
Learn more
FCC Form 555 Instructions
FCC Form 555 Bulk Upload Template

Consumers

Lifeline Application (Form 5629)
Lifeline Application 
Lifeline Application  (Spanish)
Due Date
Submit at any time
Who Must File
Eligible consumers
Learn more
Recertification Form (Form 5630)
Recertification Form 
Recertification Form  (Spanish)
Due Date
Annually on anniversary date
Who Must File
Lifeline consumers
Lifeline Household Worksheet (Form 5631)
Lifeline Household Worksheet 
Lifeline Household Worksheet  (Spanish)
Due Date
Optional
Who Must File
Potential consumers who want to determine if they are one or more households
National Verifier Application Form
Apply online
National Verifier Application Form
National Verifier Application Form (Spanish)
Due Date
Submit at any time
Who Must File
Eligible consumers in National Verifier states
National Verifier Recertification Form
Recertify online
National Verifier Recertification Form
National Verifier Recertification Form (Spanish)
Due Date
Annually on anniversary date
Who Must File
Lifeline consumers in National Verifier states
National Verifier Household Worksheet
National Verifier Household Worksheet
National Verifier Household Worksheet (Spanish)
Due Date
Optional
Who Must File
Potential consumers in National Verifier states who want to determine if they are one or more households