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 and subscribers may complete online or paper forms.

Service Providers: Disbursements

Lifeline Claims System

File online (use E-File credentials)

Due Date
Eighth 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

Service Providers: Annual Filings

FCC Form 481

File online

Due Date
July 1

Who Must File

High Cost and Lifeline service providers

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
Supplemental information
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

Lifeline eligible consumers

Recertification Form (Form 5630)

Recertification Form 
Recertification Form  (Spanish)

Due Date
Annually on anniversary date

Who Must File

Lifeline subscribers (if USAC cannot verify their eligibility)

Lifeline Household Worksheet (Form 5631)

Lifeline Household Worksheet 
Lifeline Household Worksheet  (Spanish)

Due Date
Optional

Who Must File

Lifeline eligible consumers who live at the same address as a Lifeline subscriber if the consumer is the only person in their household receiving the Lifeline benefit

The eligibility verification process varies slightly in the National Lifeline Accountability Database (NLAD) opt-out states (California, Oregon, and Texas) and consumers in these three states may need to submit different forms.