Get Or Fm784 2024-2025

The OR FM784, also known as the Oregon Lifeline Application, is designed for individuals seeking a discount on phone or internet services. This guide provides step-by-step instructions on how to complete the form online to ensure a smooth application process.

Follow the steps to fill out the OR FM784 online

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin with Section A by providing your legal name. Ensure that the name matches the name on your service account.
3. Fill in your Social Security Number for verification purposes. Make sure this information is accurate.
4. Provide an email address for communication regarding your application.
5. Enter your date of birth in the specified format.
6. Input your account number or the phone number associated with the Lifeline discount.
7. If applicable, provide an alternate phone number.
8. Complete the home address section, including the zip code, and specify if the address is temporary.
9. If your mailing address differs from your home address, fill that in as well.
10. Indicate if you reside on Tribal land by checking the appropriate box.
11. Proceed to Section B and select the service provider from the list that supplies your current service.
12. Move to Section C and mark any programs that you or your household members are currently enrolled in.
13. If you do not qualify for any programs in Section C, complete Section D by selecting your household size and income bracket.
14. Provide the required proof of income as specified, ensuring that you submit copies only.
15. Finalize your application in Section E by initialing each statement, agreeing to the terms outlined.
16. Sign and date the form digitally or physically at the indicated sections.
17. Finally, submit the form to complete your application process.

Start filling out the OR FM784 online today to secure your Lifeline benefits.