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Proof of Eligibility:
                                                                                      Guidelines and Examples


               Proof of Eligibility Guidelines



               The following programs and income qualifications are all acceptable proof of eligibility documents for
               any customer wishing to apply for TruConnect LifeLine Wireless Service. When determining proof of
               eligibility, the address listed on the customer’s eligibility document must match the state where the
               customer is applying. Unlike proof of identity, proof of eligibility must show that the customer is a
               resident of the state where they are applying to receive LifeLine wireless service.

               Federal and State-Specific government assistance programs that may be used as proof of eligibility are
               listed below:

                   •  Federal Public Housing Assistance (FPHA)
                          o  FPHA Housing Contract for a federal public housing property with the consumer’s name,
                              address, and lease dates
                          o  Lease Agreement with the consumer’s name, landlord or owner, address, housing
                              assistance information, and lease dates
                          o  Rent Change Notice with the consumer’s name, address, effective date, and housing
                              assistance information
                          o  Owner’s Certification of Compliance with the consumer’s name, effective date, and
                              housing assistance information
                   •  Medicaid
                          o  Benefit approval or statement letter issued by the federal or state government, with the
                              consumer’s name, address, Medicaid/identification number, and eligibility dates
                          o  Verification of Coverage letter issued by the federal or state government, with the
                              consumer’s name, address, Medicaid/identification number, and eligibility dates
                          o  A Printout or screenshot from an online portal or website tool with the consumer’s
                              name, Medicaid identification number, eligibility dates, and date of when the site was
                              accessed
                          o  Unexpired Medicaid card with the consumer’s name and Medicaid identification or card
                              number
                          o  Unexpired health care card with the consumer’s name and indication of Medicaid
                              participation
                   •  Supplemental Nutrition Assistance Program (Food Stamps or SNAP)
                          o  Benefit approval letter issued by the federal or state government with the program
                              name, consumer’s name, case/identification number, and eligibility dates or current
                              participation status
                          o  Benefits statement or letter issued by the federal or state government with the
                              consumer’s name, program name, case/identification number, and eligibility dates or
                              current participation status
                          o  Verification of Coverage letter issued by the federal or state government with the
                              program name, consumer’s name, case/identification number, and eligibility dates or
                              current participation status
                          o  A Printout or screenshot from an online portal or website tool with the program name,
                              consumer’s name, case/identification number, eligibility dates, and date site accessed
                          o  Unexpired SNAP card with the consumer’s name and identification or card number



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               Proprietary and Confidential                                                       1/20/2020
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