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 Field Descriptions

FCC Form 481

File online
FCC Form 481Due 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

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

If you are applying in Oregon, California, or Texas, contact a Lifeline service provider. Click here for a list of companies near you.