Affordable Connectivity Program Subsidy Form

Sign up to get a $30/month discount on your internet bill through the Affordable Connectivity Program (ACP). Fill out this form:

STOP! Have you completed these steps?

STEP 1:Enroll with National Verifier. New and existing customers need to enroll.

  • Before filling out this form, you must confirm eligibility and enrollment with the U.S. Federal Government.
  • Please visit the National Verifier to verify your eligibility and confirm enrollment.
  • Be sure to note your “Application ID” as you need it to complete this form below.
  • Note: language on the verifier says “Lifeline Program,” but it also verifies participation in the Affordable Connectivity Program (ACP)

STEP 2: Sign up for internet service with Fastwyre Broadband at Existing Fastwyre Broadband customers may skip directly to Step 3.

STEP 3: Fill out the form below to enroll in Fastwyre Broadband’s ACP discount. Filling this out online is the fastest and easiest way to qualify for a $30 discount on your bill.

Please ensure the information you enter below matches the information you submitted to qualify for the ACP subsidy. If the eligibility for ACP is through a Benefit Qualifying Person other than yourself, you must also fill out that section in the form below.

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