FREE TABLETS APPLICATON

Getting approved is fast and easy.

Shipping Address:

Birth Day*

Last 4 SS Number*

Part I: Which Gov Services do you receive?
You have to check one or more yes..
Government Programs Used

	Yes
Medicaid
EBT / SNAP
TANF
SECTION 8
Public Housing
VA Pension
Pell Grant
WIC
SSI
Native American Reservation
Income under the 200% poverty Level

I you are qualifying because of income submit your last W2 or last three weeks check stubs. (Only if you only choose Income Qualifying)

Drop file here or click to upload

Verify That You Are A Human

10+9 (ENTER THE SUM)

Upload picture of ID or Drivers License*

Drop file here or click to upload

Where did you hear about gov-tablets?*

I understand that there will be an $12 one time surcharge and I will receive 1 year of ACP or Lifetime Talk Text and Data for free.