Affordable Connectivity Program

Please complete the form below after you've submitted your application at acpbenefit.org/ and have been approved.

DO NOT PROCEED UNLESS YOUR APPLICATION HAS ALREADY BEEN APPROVED AND YOU HAVE RECEIVED AN APPROVAL ID NUMBER.

The information below MUST BE IDENTICAL to the data you submitted to the Universal Service Administrative Co. (USAC).

 

Affordable Connectivity Form
In some cases, an application may have been submitted under a name/person OTHER than the one listed above. Please list the benefit-qualifying person's (BQP) info below?
Maximum upload size: 516MB
Please check the box below to confirm your understanding that:

1. You are enrolled in a government program that reduces your broadband Internet bill by $30 per month.

2. You may obtain broadband service supported by the ACP Program from any participating provider of your choosing.

3. You may transfer your ACP Program benefit to another provider at any time.

4. By submitting this form you agree to allow ATC Communications to submit this information to USAC to verify and confirm your eligibility.