We just need a few more details from you in order to finalize your ACP application. Before proceeding, please confirm your date of birth

Please add the missing information in the blank info boxes found below:

First Name

Last Name

Physical Address

City

State

Zip Code

Date of Birth

USAC Application Id

Primary number

Account Number

BTN/First 10 digits of Acc.

Tribal ID

Last 4 Digits of SSN

I have a Benefit Qualified Household Member.

I have read and agreed to the Terms and Conditions

Customer data has been updated successfully