NWMissouri2021RockPortTelco

YOU MAY BE ELIGIBLE FOR ASSISTANCE WITH YOUR BILL

LIFELINE PROGRAM The LIFELINE ASSISTANCE PROGRAM is a plan which assists qualified low-income applicants with reductions in their monthly local exchange service rate. The applicant applies for a single telephone line at the applicant’s principal place of residence. The LIFELINE PROGRAM is limited to one benefit per household, consisting of either wireline or wireless service. LIFELINE is a government benefit program, and consumers who willfully make false statements in order to obtain the benefit can be punished by fine or imprisonment or can be barred from the program. Qualified applicants of LIFELINE shall have their monthly local exchange service rate reduced by the federal support of $5.25. Additional state support may be available. Eligibility is reviewed annually. To establish continued eligibility, LIFELINE subscribers will need to submit an annual recertification form signed under penalty of perjury that you still participate in a qualifying program or meet the income-based eligibility threshold. Your benefits will be discontinued when you no longer meet the requirements or when the annual recertification form is not received. Customers who are no longer eligible for LIFELINE benefits must notify their service provider. To be eligible for LIFELINE, an applicant must participate in one of the following: • MO HealthNet (f/k/a Medicaid) • Veterans and Survivors Pension Benefit • Supplemental Nutrition Assistance (Food Stamps) • Federal Public Housing Assistance (Section 8) • Supplemental Security Income • 135% of the Federal Poverty Level The DISABLED PROGRAM is a plan which assists qualified disabled applicants with reductions in their monthly local exchange service rate. The applicant applies for a single telephone line at the applicant’s principal place of residence. Qualified applicants of the DISABLED program are eligible for state support of up to $24.00. To be eligible for the DISABLED program, an applicant must participate in one of the following: • Veteran Administration Disability Benefits • State Supplemental Disability Assistance • State Blind Pension • Federal Social Security Disability • State Aid to Blind Persons If you feel you qualify for either LIFELINE or DISABLED Program, contact your local telephone company and ask your customer service representative to explain the application process. You can also apply directly at checklifeline.org/lifeline . Statement of Nondiscrimination The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means of communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD). To file a complaint of discrimination write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call toll free 866-632-9992 (voice) or 800-877-8339 (TDD) or 866-377-8642 (relay voice users). USDA is an equal opportunity provider and employer.

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