Apply for Your Free Government Device

Complete this application to receive your free smartphone, tablet, or internet service through Lifeline and ACP programs. It takes less than 10 minutes to complete.

Why Choose Talk Now Mobile?

FCC-Approved & Secure

We’re an authorized Lifeline provider with strict privacy protocols to protect your information.

Fast Approval Process

Most applications are processed within 48 hours. We’ll notify you immediately when approved.

Quick Delivery

Devices typically ship within 3-5 business days with free express shipping.

Your Application Journey

1

Complete the Form

Fill in your details – it should take less than 10 minutes.

2

Verification Process

Our team will review your documents (takes 1-2 business days).

3

Device Selection

Choose from available smartphones or tablets in your area.

4

Delivery & Setup

Your device ships within 3 days with easy activation instructions.

Real People Are Here to Help

Have questions about your application? Our U.S.-based support team is ready to assist you.

Call Us

+1 (888) 555-0198

Hours

Monday-Friday: 9 AM – 6 PM EST

We Protect Your Privacy

Bank-Level Security

256-bit encryption protects your sensitive information.

No Spam Policy

We never sell your information to third parties.

FCC Compliance

We follow all federal privacy regulations for Lifeline providers.

1
Personal Info
2
Eligibility
3
Device Selection
4
Documents
5
Review

Personal Information

Please provide your personal details so we can process your application.

We’ll send application updates to this email
We only need the last 4 digits for identity verification

Eligibility Information

Select how you qualify for Lifeline and Affordable Connectivity Program benefits.

This helps us verify your eligibility faster

Device Selection

Choose the device(s) you want to receive through the program.

Smartphone

Free smartphone with unlimited talk, text, and data

Smartphone

Tablet

10″ tablet with data plan ($10.01 co-pay)

Tablet

Document Upload

Upload documents to verify your identity and eligibility.

Upload one of the following: Driver’s License, State ID, Passport, or other government-issued ID

Upload Proof of Identity

Click to browse or drag and drop files here

Accepted formats: JPG, PNG, PDF (Max 5MB)

Upload one of the following: Utility bill, lease agreement, mortgage statement (dated within last 60 days)

Upload Proof of Address

Click to browse or drag and drop files here

Accepted formats: JPG, PNG, PDF (Max 5MB)

Upload documentation for the program you selected (benefit award letter, approval notice, etc.)

Upload Eligibility Documents

Click to browse or drag and drop files here

Accepted formats: JPG, PNG, PDF (Max 5MB)

Review Your Application

Please review all information before submitting your application.

Personal Information

Full Name:
John Smith
Phone:
(555) 123-4567
Address:
123 Main St, Los Angeles, CA 90001

Eligibility Information

Qualification Method:
Program Participation
Program:
SNAP (Food Stamps/EBT)

Device Selection

Primary Device:
Smartphone
Internet Service:
Yes – $30/month discount
Provider:
FreeGovResources