Affordable Internet Form

Proof of Eligibility
Upload a document below that shows your participation in an approved assistance program or confirms your income level.

Accepted file types: PDF, JPG, PNG. Max size: 10 MB.

Primary ID (or two Secondary IDs)
Upload one form of primary identification below, or two forms of secondary ID if you don’t have a primary.

Examples of acceptable documents include a driver’s license, passport, social security card, or benefit letter. [View full list →]

Click or drag a file to this area to upload.