How do I apply for the Blue Jay Wireless Lifeline Program?

Download and review the application for your state to check state eligibility requirements.


To qualify you must:
  • Show proof of participation in one of the programs listed on the enrollment application. (send copy)
  • Certify on the enrollment form that you are or a member of your Household and do not already receive a Lifeline Phone Discount – either landline or cellphone.
To apply:
  1. Photocopy your proof of program participation and government issued photo ID
  2. Download, print, and complete enrollment application for your state (on right)
  3. Mail, fax, or email completed application and proof to:
Blue Jay Wireless
4240 International Parkway, Suite 140
Carrollton, TX 75007

Scan and email to:

Questions? Call (855) 425-8529

Blue Jay Wireless is currently available in these states:

Recertification Forms

Recertification forms will be back online soon. Please contact us for more information.

Additional Worksheets