Lifeline

Subscriber Management
Enroll Subscriber
Update Subscriber
Transfer Lifeline Benefit
De-Enroll Subscriber
Submit Resolution Request
Upload Subscriber File
Lookup Subscriber

Account Management
ETC Administrator Home Page
Manage NLAD Subaccounts
Create NLAD Subaccounts
Create ETC API Account
Manage Email Recipients
Change Password

Reports and Tools
Reports
User Guide
API Specification
Field Descriptions
NLAD Access Agreement
Training Videos

Enroll Subscriber

Provide the Subscriber’s Full Name

First Name

Middle Name

Last Name

Provide the Subscriber’s Address

Primary Address

Apt, Unit, etc.

City

State

ZIP Code

Is the subscriber’s mailing address different from their physical address? Yes No

Provide the Subscriber’s Telephone Information

Phone No. is optional to verify

Service Type

Service Initiation Date

mm/dd/yyyy

Phone Number

(xxx) xxx-xxxx

Lifeline Tribal Benefit? Yes No

Subscriber Eligibility Information

Eligible Program

IEH Certification Date

mm/dd/yyyy

Linkup Service Date

mm/dd/yyyy

Independent Economic Household? Yes No

Tribal Address? Yes No

Temporary Address? Yes No

Non-Deliverable Rural Address? Yes No

ETC General Use

Provide any additional comments or notes.