Form FCC Form 5630 FCC Form 5630 Lifeline Annual Recertification Application Form
Bridging the Digital Divide for Low-Income Consumers, Lifeline and Link Up Reform and Modernization, Telecommunications Carriers Eligible for Universal Service Support
Lifeline Recertification Form 5630 (New PO Box)
Businesses or other for-profit
OMB: 3060-0819
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3060-0819 can be found here: