Get Infiniti Mobile

Filling out the Infiniti Mobile online form is a straightforward process that helps you enroll in the Lifeline service program. This guide provides step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to fill out the Infiniti Mobile form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Read the disclosures about Lifeline eligibility carefully. Ensure that you understand the one Lifeline service per household rule and the potential consequences of providing false information.
3. Check the certification box to confirm that you have read and understood the disclosures relating to Lifeline service.
4. Select your eligibility by checking one of the programs under the customer eligibility certification section.
5. Fill in your personal information in the Customer Application Information section including your first name, middle initial, last name, date of birth, social security number (or Tribal ID), and phone number.
6. Provide your residential address. Make sure to choose whether your address is permanent or temporary.
7. If your billing address is different, fill it in accordingly. Note that P.O. Boxes may be sufficient for this address.
8. If applicable, certify if you reside at an address occupied by multiple households.
9. Review the activation and usage requirement disclosures for understanding how to maintain service.
10. Check the authorization box to allow the Company to access records necessary for verification.
11. Complete the additional certifications by checking all applicable boxes to confirm your compliance with all requirements.
12. Sign and date the application to finalize your submission.
13. Once completed, save your changes, and proceed to download, print, or share the form as needed.

Begin filling out your Infiniti Mobile application form online today!