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If you or a dependent residing in your household are receiving benefits from one or more of the programs listed below, please check all that apply:


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1 Section 1 Rules California Lifeline When completed, mail, fax or to: 200 Mansell Court East, Suite 105 Roswell, GA Customer Service: IF MAILING, FAXING OR YOU MUST SEND PROOF OF ELIGIBILITY WITH APPLICATION REFERRING CELL PHONE NUMBER IMPORTANT: Please read all of this form carefully and fill it out completely. If you have questions, please ask for help. Forms that are not completed accurately will be rejected resulting in a delay in your service or rejection of your application. Lifeline is a Federal government benefit program that offers a discount on your monthly phone service. Lifeline service is available for only one line per household; a household is defined as any individual or group of individuals who live together at the same address and share income and expenses. Households are not permitted to receive benefits from multiple providers and you may not receive multiple Lifeline discounts. You may apply your Lifeline discount to either one landline or one wireless number, but you cannot have the discount on both. Violation of the one-per-household requirement is a violation of Federal Rules will result in your removal from the program and potential prosecution by the United States government. Applicants who willfully make false statements in order to obtain the benefit can be punished by fine or imprisonment or can be barred from the program. You will be required to annually re-certify that you continue to qualify for Lifeline benefits. Section 2 Eligibility by Program (complete either Section 2 or 3) If you or a dependent residing in your household are receiving benefits from one or more of the programs listed below, please check all that apply: Medicaid/MediCal Welfare-to-Work (WTW) Head Start* Supplemental Security Income (SSI) Temporary Assistance for Needy Families (TANF) Greater Avenues for Independence (GAIN) Bureau of Indian Affairs General Assistance Women, Infants and Children Program (WIC) Federal Public Housing Assistance (Section 8) National School Lunch Program (NSL) Food Distribution Program on Indian Reservations Tribally Administered Temporary Assistance for Needy Families Low Income Home Energy Assistance Program (LIHEAP) CA Work Opportunity and Responsibility to Kids (CalWORKs) Supplemental Nutrition Assistance Program (SNAP), a/k/a CalFresh/Food Stamps Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKs) * Income Eligible (Tribal Only) Section 3 Eligibility by Income (complete either Section 2 or 3) If your income is at or below poverty guidelines dictated by the California PUC, as shown below, you can qualify for Lifeline. How many people are in your Household? Household Size Total Annual Income At: Number of People Household: Total Annual Income At: 1-2 members $25,700 4 members $36,200 3 members $29,900 Each additional member Add $6,300 each TO QUALIFY FOR INCOME ELIGIBILITY, YOU MUST PROVIDE COPIES OF ONE OR MORE OF THE DOCUMENTS LISTED BELOW. IF YOU PROVIDE DOCUMENTATION THAT DOES NOT COVER A FULL YEAR (SUCH AS CURRENT PAY STUBS), YOU MUST SUBMIT THREE (3) CONSECUTIVE MONTHS OF THE SAME TYPE OF DOCUMENT WITHIN THE CURRENT CALENDAR YEAR. Prior year s state, federal or tribal tax return Retirement/Pension benefit statement Unemployment/Workers Compensation benefits statement Divorce decree or child support document Social Security benefits statement Current income statement from employer or paycheck stub Federal or tribal notice letter of participation in Bureau of Indian Affairs General Assistance Veterans Administration benefits statement Section 4 Customer Information FIRST NAME LAST NAME FULL PHYSICAL ADDRESS (NO P.O. BOXES This address must be your principal residence!) APT / FLOOR TEMPORARY PERMANENT CITY STATE ZIP CODE FULL MAILING ADDRESS (If different from above) APT / FLOOR TEMPORARY PERMANENT CITY STATE ZIP CODE CONTACT PHONE NUMBER (Including Area Code) DATE OF BIRTH (MM-DD-YYYY) SOCIAL SECURITY OR TRIBAL ID NUMBER (if no SS #) ADDRESS:

2 Section 5 Qualifying Beneficiary (Complete if Section 2 benefits are in a name other than applicant - ie Free Lunch Program) First name Middle Last Name Section 6 State Required Customer Information State Specific Required ID Number Section 7 One Per Household (Customer Initials) I acknowledge that, to the best of my knowledge, no one at my household is receiving a Lifeline-supported service from any other provider. Section 8 Customer Signature PLEASE READ THE FOLLOWING AND INITIAL. BY SIGNING BELOW YOU ARE AGREEING TO THE FOLLOWING PROGRAM RULES: I certify under penalty of perjury that I either participate in the indicated qualifying federal program or I meet the income qualification to establish my eligibility for Lifeline. If required to do so, I have provided accurate documentation of my eligibility. I certify I am head of the household, I am not listed as a dependent on another person s tax return (unless over the age of 60) and the address listed is my primary residence. I confirm local voice service discounts under the low income programs are limited to one per household and that my household is receiving no more than one Lifeline supported service. If I am participating in another Lifeline program at the time I apply for SafetyNet Wireless Lifeline service, I agree to cancel that Lifeline service with any other provider. I certify that I will only receive one Lifeline connection, will not have simultaneous or multiple Lifeline discounts with another provider. I acknowledge that I may be required to re-certify my continued eligibility for Lifeline at any time, and that failure to do so will result in the termination of the my Lifeline benefits. I understand that I must inform SafetyNet Wireless within 30 days if I (1) no longer participate in a federal qualifying program or programs or my annual household income exceeds 150% of the Federal Poverty Guidelines; (2) I am receiving more than one Lifeline-supported service per household; or (3) I, for any other reason, no longer satisfy the criteria for receiving Lifeline support. I attest under penalty of perjury that I understand this notification requirement, and that I may be subject to penalties if I fail to follow this rule. I understand that Lifeline service is a non-transferable benefit, and that I may not transfer my service to any other individual, including another eligible low-income consumer. I acknowledge and consent to the use of my name, telephone number, and address to be given to the Universal Service Administrative Company (USAC) (the administrator of the program) and/or its agents for the purpose of verifying that I m not receive more than one Lifeline benefit. I understand that refusal to grant this permission will mean I am not eligible for Lifeline service. I also authorize SafetyNet Wireless to access any records required to verify my statements herein and to confirm my continued eligibility for Lifeline assistance. I understand that if I move, I must provide a new address to SafetyNet Wireless within 30 days of my move. I understand that if I provided a Temporary Address, I must verify with SafetyNet Wireless every 90 days that I am using the same address. I understand that if I fail to do so, I will lose my Lifeline discount. By my signature below, I certify under penalty of perjury that I have read and understood this form and that I attest that the information contained in this application that I have provided is true and correct to the best of my knowledge and that I acknowledge that providing false or fraudulent information to receive Lifeline benefits is punishable by law. Signature Date Section 9 Tribal Certification BY CHECKING HERE AND MY SIGNATURE ABOVE I CERTIFY THAT MY ADDRESS IS ON FEDERALLY RECOGNIZED TRIBAL LAND COMPANY USE ONLY I hereby certify that I have reviewed and verified the required documentation for the program(s) indicated by the applicant for the use of Lifeline eligibility or verified the applicant s eligibility via the available state database. I also certify that I have reviewed the necessary documentation to verify identity and address of the applicant, and I am aware that falsification of this is subject to termination or legal action by the company. Company Representative - Print Full Name (No Initials) Account Number Company Representative Signature Date This offering is a California LifeLine and federal Lifeline supported service provided by AmeriMex Communications Corp. d/b/a SafetyNet Wireless. Only qualified consumers with documentation proving eligibility may enroll. Lifeline services are non-transferable and limited to one benefit per household, consisting of either wireline or wireless. Willingly making false statements to obtain the benefit or receiving multiple Lifeline benefits can result in fines, imprisonment, de-enrollment or being barred from the program. You must use your phone to continue to receive service. After 60 days of non-usage you will be de-enrolled in the program. Coverage limitations of wireless mobile phone service may affect access to E-911 and/or 911 in the event of an emergency. If you remove your SafetyNet wireless handset from your home, other family members in your household may not be able to reach 911 emergency services. Plan Offering: Unlimited Voice and Text, Unlimited Voice, Text and 100 MB Data, Unlimited Voice, Text and 3GB Data.

3 Lifeline Household Worksheet Name Address Apt/Unit Number City, State Zip Account Number Wireless Number Lifeline is a government program that provides a monthly discount on home or mobile telephone services. Only ONE Lifeline discount is allowed per household. Members of a household are not permitted to receive Lifeline service from multiple telephone companies. Your household is everyone who lives together at your address as one economic unit (including children and people who are not related to you). The adults you live with are part of your economic unit if they contribute to and share in the income and expenses of the household. An adult is any person 18 years of age or older, or an emancipated minor (a person under age 18 who is legally considered to be an adult). Household expenses include food, health care expenses (such as medical bills) and the cost of renting or paying a mortgage on your place of residence (a house or apartment, for example) and utilities (including water, heat and electricity). Income includes salary, public assistance benefits, social security payments, pensions, unemployment compensation, veteran s benefits, inheritances, alimony, child support payments, worker s compensation benefits, gifts, and lottery winnings. Spouses and domestic partners are considered to be part of the same household. Children under the age of 18 living with their parents or guardians are considered to be part of the same household as their parents or guardians. If an adult has no income, or minimal income, and lives with someone who provides financial support to that adult, both people are considered part of the same household. You have been asked to complete this Worksheet because someone else currently receives a Lifeline- supported service at your address. This other person may or may not be a part of your household. Answer the questions below to determine whether there is more than one household residing at your address. 1. Does your spouse or domestic partner (that is, someone you are married to or in a relationship with) already receive a Lifeline- discounted phone? (check no if you do not have a spouse or partner) YES NO Ø If you checked YES, you may not sign up for Lifeline because someone in your household already receives Lifeline. Only ONE Lifeline discount is allowed per household. Ø If you checked NO, please answer question #2. 2. Other than a spouse or partner, do other adults (people over the age of 18 or emancipated minors) live with you at your address? A. A parent YES NO D. An adult roommate YES NO B. An adult son or daughter YES NO E. Other YES NO C. Another adult relative (such as a sibling, aunt, cousin, grandparent, grandchild, etc.) YES NO Ø If you checked NO for each statement above, you do not need to answer the remaining questions. Please initial line B, below, and sign and date the worksheet. Ø If you checked YES, please answer question #3. 3. Do you share living expenses (bills, food, etc.) and share income (either your income, the other person s income or both incomes together) with at least one of the adults listed above in question #2? YES NO Ø Ø If you checked NO, then your address includes more than one household. Please initial lines A and B below, and sign and date the worksheet. If you checked YES, then your address includes only one household. You may not sign up for Lifeline because someone in your household already receives Lifeline. 4. I opt in for paperless billing YES NO CERTIFICATION Please initial the certifications below and sign and date this worksheet. Submit this worksheet to SAFETYNET WIRELESS along with your Lifeline application. A. I certify that I live at an address occupied by multiple households. B. I understand that violation of the one- per- household requirement is against the Federal Communication Commission s rules and may result in me losing my Lifeline benefits, and potentially, prosecution by the United States government. Signature Date SafetyNet Wireless 2330 Gravel Drive Fort Worth, TX

4 What is the Lifeline Program? SAFETYNET WIRELESS CALIFORNIA LIFELINE SERVICE FREQUENTLY ASKED QUESTIONS ( CA FAQs ) Lifeline is a government funded support program through the Universal Service Fund and State of California that makes basic phone service affordable for low income customers. This program is based on the principle from the Telecommunications Act of 1996 that "consumers in all regions of the nation, including low income consumers... should have access to telecommunications and information services..." How do customers qualify for Lifeline credit? Customers must be a participant in at least one of the qualifying Federal Assistance Program s or a state approved program such as the ones listed below: Medicaid/Medi-Cal Women, Infants and Children Program (WIC) Healthy Families Category A Low-Income Home Energy Assistance Program (LIHEAP) Supplemental Security Income (SSI) Federal Public Housing Assistance or Section 8 CalFresh, Food Stamps or Supplemental Nutrition Assistance Program (SNAP) National School Lunch Program (NSLP) Temporary Assistance for Needy Families (TANF), also called: o California Work Opportunity and Responsibility to Kids (CalWORKS) o Stanislaus County Work Opportunity and Responsibility to Kids (StanWORKS) o Welfare-to-Work (WTW) o Greater Avenues for Independence (GAIN) Tribal TANF Bureau of Indian Affairs General Assistance Head Start Income Eligible (Tribal only) Food Distribution Program on Indian Reservations (FDPIR) What if I do not participate in one of the qualifying federal assistance programs? Am I still eligible for lifeline credit? If your income is at or below the poverty guidelines, as outlined by the State of California, you can qualify for Lifeline. Number of People in Household: 1 Person 2 People 3 People 4 Person Each additional person 5 People Total Annual Income At: $25,700 $25,700 $29,900 $36,200 $6,300 To qualify for the income eligibility, you must provide copies of one or more of the documents listed below. If you provide documentation that doesn t cover a full year (such as current pay stubs), you must submit three (3) consecutive months of the same type of document within the current calendar year. 1

5 Prior year s state, federal or tribal tax return Retirement/Pension benefit statement Unemployment/Workers Compensation benefits statement Divorce decree or child support document Social Security benefits statement Current income statement from employer or paycheck stub Federal or tribal notice letter of participation in Bureau of Indian Affairs General Assistance Veterans Administration benefits statement Other documents may also be accepted, ask your agent or call customer service for more information. What are the Program Rules? Below are the program rules each potential customer must read and acknowledge when requesting lifeline subsidized service. I certify under penalty of perjury that I either participate in the indicated qualifying federal program or I meet the income qualification to establish my eligibility for Lifeline. If required to do so, I have provided accurate documentation of my eligibility. I certify I am head of the household, I am not listed as a dependent on another person s tax return (unless over the age of 60) and the address listed is my primary residence. I confirm local voice service discounts under the low income programs are limited to one per household and that my household is receiving no more than one Lifeline supported service. If I am participating in another Lifeline program at the time I apply for SafetyNet Wireless Lifeline service, I agree to cancel that Lifeline service with any other provider. I certify that I will only receive one Lifeline connection, will not have simultaneous or multiple Lifeline discounts with another provider. I acknowledge that I may be required to re-certify my continued eligibility for Lifeline at any time, and that failure to do so will result in the termination of the my Lifeline benefits. I understand that I must inform SafetyNet Wireless within 30 days if I (1) no longer participate in a federal qualifying program or programs or my annual household income exceeds 135% of the Federal Poverty Guidelines; (2) I am receiving more than one Lifeline-supported service per household; or (3) I, for any other reason, no longer satisfy the criteria for receiving Lifeline support. I attest under penalty of perjury that I understand this notification requirement, and that I may be subject to penalties if I fail to follow this rule. I understand that Lifeline service is a non-transferable benefit, and that I may not transfer my service to any other individual, including another eligible low-income consumer. I acknowledge and consent to the use of my name, telephone number, and address to be given to the Universal Service Administrative Company (USAC) (the administrator of the program) and/or its agents for the purpose of verifying that I m not receive more than one Lifeline benefit. I understand that refusal to grant this permission will mean I am not eligible for Lifeline service. I also authorize SafetyNet Wireless to access any records required to verify my statements herein and to confirm my continued eligibility for Lifeline assistance. I understand that if I move, I must provide a new address to SafetyNet Wireless within 30 days of my move. I understand that if I provided a Temporary Address, I must verify with SafetyNet Wireless every 90 days that I am using the same address. I understand that if I fail to do so, I will lose my Lifeline discount. What is the Lifeline form? An authorized document or online form authorized by the state, which contains rules, regulations, and information that requires the customer to read and sign: 2

6 1. Selecting the qualifying program(s) they receive; 2. Verifying their personal information: name, home address, home phone number, and social security number; 3. Their signature and date of application. What is re certification? SafetyNet is required by law to re certify Lifeline customers each year. During re certification, customers must verify their continued participation in a qualifying program. If the customer no longer participates in a qualifying program and doesn t meet the income eligibility, can they continue receiving Lifeline credit? No. it is also the responsibility of the customer to inform SafetyNet Wireless if they no longer qualify for Lifeline discounts. Does SafetyNet Wireless offer California LifeLine discounts to all customers? SafetyNet Wireless offers California LifeLine discounted services on a non-discriminatory basis to any customer residing within the service territory where the Company offers retail wireless telephone services. SafetyNet Wireless will only provide California LifeLine discounts to participants that are found eligible for California LifeLine Service by the California LifeLine Administrator. Are SafetyNet Wireless California LifeLine participants required to purchase bundled plans with video, data, and/or other services to receive California LifeLine discount? No. What handsets does SafetyNet Wireless offer to California LifeLine Participants? SafetyNet Wireless provides a free handset to California LifeLine participants. Handsets may be new or refurbished depending on availability and market conditions. However, if a California LifeLine participant desires to purchase a different handset, SafetyNet Wireless will offer all handsets to participants on the same basis as the Company s retail customers. Does SafetyNet Wireless provide a voice-grade connection? Yes. LifeLine customers have the ability to send and receive voice-grade calls over all domestic distances (local and long distance) via a wireless voice-grade connection to the public switched telephone network. Domestic voice calls are not distance sensitive; a customer does not pay more for making a domestic long distance call than for a call within their local exchange area. What happens if a California LifeLine participant fails to receive a voice-grade connection and notifies the service provider? California LifeLine participants are entitled to a voice-grade connection. If a California LifeLine participant fails to receive a voice-grade connection and notifies SafetyNet Wireless, SafetyNet Wireless will (1) promptly restore the voice-grade connection, or if not possible, (2) provide telephone service to that participant using a different technology if one is available from SafetyNet Wireless and if the participant agrees. However, if a voice-grade connection cannot be provided, the participant may contact SafetyNet Wireless to terminate California Lifeline Service without penalty. 3

7 Are there times when my service may not work? Service is subject to transmission limitations caused by certain equipment and compatibility issues, atmospheric, topographical and other conditions, as well as proximity. Service can only be available when in range of a transmission source, which you should be aware of when leaving your home area. Service is dependent on radio towers which require electricity to operate and could become non-functional in the event of a power outage if backup power is not available or runs out. Further, service may be temporarily refused, limited, interrupted or curtailed due to system capacity limitations, technology migration or limitations imposed by the Carrier, or because of equipment modifications, upgrades, repairs or relocations or other similar activities necessary or proper for the operation or improvement of the Carrier's radio telephone system. Neither SafetyNet Wireless, nor any Carrier, shall have any liability for service failures, outages or limitations of Service. What happens if I decide to terminate my California LifeLine Service shortly after activation? California LifeLine participant may terminate service within 14 days of service activation or at any other time for any reason without incurring early termination fees. If a California LifeLine participant terminates service within three days of service activation, excluding national holidays, applicable service connection charges and deposits, if there were any, would be refunded. However, SafetyNet Wireless California LifeLine Service does not require payment of a service connection charge or deposit by a customer who is found eligible for California LifeLine Service by the California LifeLine Administrator. Each SafetyNet Wireless plan is subject to a one-time $39.00 activation or service conversion charge. The one-time charge is charged to a customer s account at activation; however, if the customer is approved for LifeLine, the amount will be credited back to the LifeLine customer s account. As a California LifeLine participant, can I pay my phone bill in person without being assessed a fee? SafetyNet Wireless is a prepaid service provider that does not bill its customers. SafetyNet Wireless does not assess a fee to customers when adding value to their prepaid customer account. However, third-party vendors and retail locations that provide in person payment services may charge their own convenience fees. Are calls to 911 and SafetyNet Wireless Customer Care free and unlimited for California LifeLine participants? Do they count against my allotted voice minutes or number of calls? Calls to 911 and SafetyNet Wireless Customer Care are free and unlimited for SafetyNet Wireless California LifeLine participants, and they do not count against allotted voice minutes or number of calls. Are there standards for 911 emergency services location accuracy and reliability? Your handset will be able to place calls to 911 even if you have no minutes available. It is advised, by Public Safety Officials, that you should be prepared to provide information about your location when making a 911 or other emergency call. Wireless service, unlike landline phones, uses less reliable methods to place calls and to determine your phone number and location. Network coverage can be adversely affected by weather, structures, buildings, geography, etc. Because of these factors, emergency operators may not be able to determine your location or your phone number, or, you may not be able to complete a 4

8 call at all. Occasionally, callers may attempt to call 911 in areas where there is no wireless coverage. If there is no wireless coverage, your call to 911 may not go though and you should dial 911 from the nearest landline phone. Enhanced 911 service, also known as E911, relies on GPS technology to obtain location information. This service is dependent on a number of factors such as the abilities of the local emergency authorities, GPS ability of your phone, whether your GPS enabled handset has GPS turned on, and your phones ability to obtain a GPS Satellite signal which can be impaired by being indoors, weather, etc. Even when available, E911 does not always provide accurate location information. What is the fee for accessing 800 or 800-like toll-free services? There is no fee to access 800 or 800-like toll-free services, but these calls count against allotted voice minutes. Does SafetyNet Wireless provide free access to the California Relay Service via 711? Yes. SafetyNet Wireless California LifeLine participants have free access to California Relay Service via 711. Associated calls using the 711 relay service may count against minutes. Does SafetyNet Wireless provide access to two California LifeLine discounted telephone lines to Deaf and Disabled Telecommunications Program participants? Yes, SafetyNet Wireless will provide access to two California LifeLine discounted telephone lines to participants in the Deaf and Disabled Telecommunications Program. What happens if SafetyNet Wireless discontinues its participation in the California LifeLine Program? In the event that SafetyNet Wireless were to discontinue offering California LifeLine service, 30-days prior notice would be provided to participants. Will my SafetyNet Wireless device work on another provider s network? SafetyNet Wireless handsets are designed to be activated on our networks and in other coverage areas that we may make available to you. As programmed, it will not accept wireless service from another carrier. What happens after I receive my phone at a SafetyNet Wireless event or location? Even though SafetyNet Wireless provides a handset directly to you when you apply for LifeLine service, this does not mean the LifeLine application process is complete. After you receive your phone, you will have 500 free promotional minutes (and 3:1 texting, 3 texts = 1 minute) that you can use as normal until your LifeLine application has been approved. We will notify you via text message when the California third-party administrator has approved your LifeLine application and verified your eligibility. Once your LifeLine application has been approved and your eligibility verified, you will be placed on the LifeLine plan you chose at the time of enrollment. If your LifeLine application comes back with a denial requesting more information, we will reach out to you to gather the additional information required. What happens when the SafetyNet Wireless handset is removed from the home? 5

9 When you remove your SafetyNet Wireless handset from your home, other family members in your household may not be able to reach 911 emergency services. Who can I contact if I have a complaint? You can always contact SafetyNet Wireless Customer Service if you have any questions, concerns, or complaints by dialing 611 from your SafetyNet Wireless phone or by dialing SafetyNet Wireless toll-free number However, you may also contact the California Public Utilities Commission s Consumer Affairs Branch: by telephone (Monday Friday, 8:30am 4:30pm); or by mail CPUC Consumer Affairs Branch, 505 Van Ness Ave., San Francisco, CA

10 TABLE OF CONTENTS 1. DESCRIPTION 2. ACTIVATION AND USE OF SERVICE 3. RATES, PLANS AND MONTHLY MINUTES 4. ADDING MINUTES, TOP-UPS 5. TEXT MESSAGING 6. SERVICE END DATE, DEACTIVATION AND REACTIVATION 7. TERMINATION OF SERVICE 8. UNATHORIZED USAGE 9. ROAMING 10. FEES AND OTHER CHARGES 11. LIMITATIONS OF SERVICE AND EQUIPMENT 12. WARRANTY, EXCHANGE AND LOST OR STOLEN PHONE POLICY 13. DISCLAIMER OF WARRANTIES 14. HEARING, VISUAL OR SPEECH IMPARED ACCOMMODATIONS 15. EMERGENCY CALLS, 911 SERVICE 16. LIMITATION OF LIABILITY 17. INDEMINIFICATION 18. BINDING ARBITRATION 19. PRIVACY POLICY CALIFORNIA LIFELINE WIRELESS TERMS AND CONDITIONS OF SERVICE Please read these SafetyNet Wireless Terms and Conditions of Service carefully. These SafetyNet Wireless Terms and Conditions of Service are a legally binding agreement between you and SafetyNet Wireless. They contain important information about your legal rights and require that certain disputes be resolved through Arbitration instead of a court trial. SafetyNet Wireless reserves the right to change or modify any of these SafetyNet Wireless Terms and Conditions of Service at any time and at its sole discretion. Any changes or modifications to these SafetyNet Wireless Terms and Conditions of Service will be binding upon you once posted on the SafetyNet Wireless website at You should check the SafetyNet Wireless website regularly for updates to these terms. By enrolling in the California LifeLine program, offered through SafetyNet Wireless (hereafter referred to as the SafetyNet Wireless LifeLine Service ) and by using the service, you ( You ), the participant, acknowledge and agree to the following terms and conditions: 1. DESCRIPTION SafetyNet Wireless offers federal Lifeline and California LifeLine service, which is a government benefit program that provides discounts on monthly telephone service for eligible low-income consumers. Federal Lifeline is supported by the federal Universal Service Fund (FUSF) and California LifeLine is supported by the California Universal Service Fund (CUSF). In order to qualify for enrollment in the California LifeLine program, a person must meet certain eligibility requirements established by the Federal Communications Commission (FCC) and the California Public Utilities Commission (CPUC). These requirements are based on a person's participation in a state or federal support program(s) or by meeting certain income requirements based upon the Income Poverty Guidelines as defined by the US Government. Federal law limits the availability of the SafetyNet Wireless Program. The LifeLine program allows only one (1) enrollment per household, and a household is defined as any individual or group of individuals who are living together as an economic unit. The LifeLine benefit is limited to one-per-household; therefore, no person currently living in the household may receive LifeLine benefits from any other LifeLine service provider, in order for you to currently be eligible. Applicants for the LifeLine program must complete an application form, provide supporting documentation that they meet the eligibility requirements and certify, under penalty of perjury, that they:

11 Are eligible for and currently receive benefits from the public assistance program(s) identified in the application form. Do not currently receive LifeLine support for a telephone line serving their residential address and no other resident in their household participates in the LifeLine program. If the applicant is already receiving a LifeLine discount from another provider, then the applicant agrees to cancel their current household Lifeline support provider in order to enroll in the SafetyNet Wireless LifeLine Service. Are not claimed as a dependent on another person's federal or state income tax return. Will notify SafetyNet Wireless by calling if and when they no longer qualify for any of the public assistance programs identified in their application form. Will notify SafetyNet Wireless of any change of address by calling Reviewed the information contained in their application and it is true and correct to the best of their knowledge and belief. Applicants who qualify to receive SafetyNet Wireless LifeLine Service will receive a free cellular phone handset provided by SafetyNet Wireless, a voice-grade connection, together with a free allotment of airtime minutes each month for up to one year. Free handsets provided by SafetyNet Wireless may be refurbished and will be capable of texting as well as making voice calls. Free handsets are not data capable; however, customer may purchase and upgrade to a data capable handset. The free refurbished handsets provided by SafetyNet Wireless are industry standard grade "A/B. Where available, SafetyNet Wireless will rely on the California LifeLine Administrator to determine whether or not an applicant meets the eligibility requirements to receive SafetyNet Wireless LifeLine Service. For states where an eligibility database is not available, SafetyNet Wireless will determine if the applicant meets eligibility requirements. Applicants who do not meet the eligibility requirements will be told the reason for their non-eligibility if applying in person or, via US Mail. Upon enrollment in the SafetyNet Wireless Program, you will be qualified to participate for up to one (1) year. To continue your enrollment in the SafetyNet Wireless Program after the initial year, you must verify annually that you are qualified for continued enrollment to receive SafetyNet Wireless LifeLine Service as required by the FCC and CPUC. SafetyNet Wireless will also conduct verification drives in accordance with CPUC rules. If SafetyNet Wireless determines during its verification drive, or at any other time, that a customer fails to continue to qualify for the SafetyNet Wireless LifeLine Service, such customer will immediately be deemed ineligible to receive SafetyNet Wireless LifeLine Service, will be de-enrolled from the SafetyNet Wireless LifeLine Service and will no longer receive the free monthly minutes. SafetyNet Wireless Customers who are no longer eligible (for any reason) for enrollment in the SafetyNet Wireless LifeLine Service must immediately notify SafetyNet Wireless that they no longer meet the eligibility requirements for enrollment. A SafetyNet Wireless customer's enrollment may also be cancelled upon the request of a state and/or federal authority. SafetyNet Wireless reserves the right to cancel the enrollment of any customer and/or permanently deactivate any customer s SafetyNet Wireless phone for fraud, misrepresentation or other misconduct as determined solely by SafetyNet Wireless. While participating in the SafetyNet Wireless LifeLine Service, a customer shall not be permitted to sell, rent, give away or in any way allow another person to use the cellular phone or SafetyNet Wireless Service provided to him/her. IT IS A VIOLATION OF FEDERAL AND STATE LAW TO SELL OR GIVE AWAY THE SafetyNet Wireless CELLULAR PHONE OR SafetyNet Wireless SERVICE PROVIDED TO YOU. Any violation of this prohibition will be reported to the appropriate legal authorities for prosecution. If you have any questions, concerns, comments or complaints regarding the SafetyNet Wireless Program or Service, offerings or products, please call SafetyNet Wireless Customer Care at You may also contact the California Public Utilities Commission. 2. ACTIVATION AND USE OF SERVICE Upon enrollment in the SafetyNet Wireless LifeLine Service, you will receive a SafetyNet Wireless wireless phone, either in person at the time of enrollment or delivered to your home address noted in the application. To activate your account, you must use the handset to contact SafetyNet Wireless customer service department. You must accept the SafetyNet Wireless wireless telephone number assigned to your SafetyNet Wireless wireless phone at the time of activation and you will acquire no proprietary interest in any number assigned to you. The wireless telecommunications networks used to transmit calls for the SafetyNet Wireless wireless Service are owned and operated by various licensed commercial mobile radio service providers ("Carriers"), not SafetyNet Wireless. The number assigned to your SafetyNet Wireless wireless phone at the time of activation will not be changed for any reason unless required by a Carrier or if the number is lost following the deactivation of your phone. You may NOT select a number to be assigned to your SafetyNet Wireless wireless phone. However, SafetyNet Wireless will take all steps necessary to initiate or allow a port-in or port-out, subject to a valid port request, without unreasonable delay or v. APR2015 Page 2

12 unreasonable procedures that have the effect of delaying or denying porting of the number. Your SafetyNet Wireless wireless phone can only be used through SafetyNet Wireless, and cannot be activated with any other wireless or cellular service. SafetyNet Wireless Services are provided at SafetyNet Wireless discretion. Some functions and features referenced in the Manufacturer's manual provided with your SafetyNet Wireless phone may not be available on your SafetyNet Wireless wireless handset. SafetyNet Wireless may modify or cancel any SafetyNet Wireless Service or take corrective action at any time without prior notice and for any reason, including but not limited to your violation of these terms and conditions of service. 3. AIRTIME RATES, PLANS AND INCLUDED MONTHLY MINUTES. SafetyNet Wireless airtime is issued in minute (or unit) increments. Units are deducted from the SafetyNet Wireless phone plan at a rate of one (1) unit per minute or partial minute of use. There is no additional charge for nationwide long distance. SafetyNet Wireless customers will receive a monthly allotment of airtime minutes as per their package selected. You may use your monthly allotment of airtime minutes to place or receive calls or to send or read text messages. Airtime minutes will be deducted for all time during which your SafetyNet Wireless phone is connected to or is using the wireless system of any Carrier. Use of a wireless system typically begins when you press the "send," "call" or other key to initiate or answer a call and does not end until you press the "end" key or the call is otherwise terminated. Airtime minutes are deducted for all incoming and outgoing calls, including incoming call waiting calls, simultaneous calls, calls to toll free numbers (800, 888, 877, 866, 855, etc.), 411, and to access your voice mail. Airtime minutes are not deducted for calls to SafetyNet Wireless customer service by dialing or 611 from your SafetyNet Wireless handset. For simultaneous calls, such as incoming call waiting and 3-way calling (where available) airtime minutes will be deducted for each call. Airtime minutes are not deducted for calls to 911, and all handsets will be able to call 911 even if they have no airtime remaining. For outbound calls, you may be charged airtime for incomplete and/or busy-no answer calls. No credit or refund is given for dropped calls. Unlimited Usage Policy: UNLIMITED USE DOES NOT MEAN UNREASONABLE USE. To ensure that all customers have access to reliable services provided at a reasonable cost, you may not use our service in a manner that interferes with another SafetyNet Wireless customer s use of our service or disproportionally impacts SafetyNet Wireless's network resources. SafetyNet Wireless reserves the right, without notice or limitation, to terminate individual calls, or, after providing notice to you, offer you a different service plan with no unlimited usage components, or deny, terminate, end, modify, disconnect or suspend your service, or decline to renew your service, if you engage in any of the prohibited voice uses detailed below or if SafetyNet Wireless, in its sole discretion, determines action is necessary to protect its wireless networks from harm or degradation. Examples of Prohibited Voice Uses: SafetyNet Wireless voice services are provided solely for live dialogue between, and initiated by, two individuals for personal use & as otherwise described in this policy. SafetyNet Wireless voice services may not be used for any commercial or other similar purposes including, but not limited to, (1) conference calling; (2), monitoring services; (3), data transmissions; (4), transmission of broadcasts; (5) transmission of recorded material; (6) interconnection to other networks; (7) telemarketing; (8) autodialed calls; (9) other commercial uses; or other connections that do not consist of uninterrupted live dialogue between two individuals. Data: Data coverage services are not available everywhere. 3G data coverage is available on our networks but may be limited by your device s capabilities. 4G Devices are not supported. v. APR2015 Page 3

13 Plan LifeLine Unlimited CA LifeLine Unlimited w/data CA LifeLine Unlimited 3-GIG Data CA Net Price/Mo Monthly Minutes Carryover Text Message Data $0.00 Unlimited N/A Unlimited N/A Features Voic Caller ID Call Waiting $0.00 Unlimited N/A Unlimited 100 MB Voic Caller ID Call Waiting $28.10 Unlimited N/A Unlimited 3 GB Voic Caller ID Call Waiting Availability California only California only California only 4. ADDING MINUTES, TOP-UPS SafetyNet Wireless will notify you via text message when you are approaching the end of your minutes, text message, or data usage. For California customers, you will receive a text message notifying you when you have 20 MB data remaining. You may add usage to your account at any time by purchasing one of the top-up plans we have available. You can purchase additional usage using your credit or debit card at our website or, over the phone by calling our customer service department. You can reach customer service by dialing the number given to you when you enrolled or by dialing 611. You may also purchase a top-up plan by purchasing an AirFair card at your local 7-Eleven and many other convenience stores. Recharge minutes may be used to place or receive voice calls or text messages. Additional usage rates are shown below. Each top-up plan provides a set amount of usage available for a set number of days as shown below. Top-Up Plans Price Minutes/Mega Bytes Good For Text to Minute Ratio $ Days Same as base plan $ Days Same as base plan $ Days Same as base plan $ Days Same as base plan $ Days Same as base plan 5. TEXT MESSAGING You may use your monthly allotment of minutes to send and/or open text messages. Text messages sent to you by SafetyNet Wireless are free of charge. The charge to send or open an incoming text message using your SafetyNet Wireless service will be as defined in the plan you have chosen. If you have exhausted your monthly allotment of minutes, you will need to purchase and redeem additional airtime minutes in order to continue to send text messages and open incoming text messages and to place and receive voice calls. If you do not want minutes deducted from your SafetyNet Wireless phone for text messaging, then do not send text messages or open incoming text messages. Please note that SafetyNet Wireless does not generally participate in Premium SMS services or campaigns. Premium SMS refers to text messages that are sent to a designated "short code" or buying or attempting to buy SMS services from anyone other than SafetyNet Wireless. Premium SMS campaigns include activities such as casting a vote, expressign your opinion, playing a game, subscribing to a service, or interactive television programs. You should not attempt to participate in Premium SMS campaigns unless it is a SafetyNet Wireless authorized campaign. Any text message you send to a "short code" will in all likelihood not go through. Any charges you may incur as a result of any v. APR2015 Page 4

14 attempts to participate in Premium SMS services or campaigns not authorized by SafetyNet Wireless are not refundable whether you incur charges as deductions from your SafetyNet Wireless phone or from your credit card. 6. SERVICE END DATE, DEACTIVATION AND REACTIVATION If your service is deactivated, you may reactivate your service by re-enrolling in the SafetyNet Wireless Program (if eligible). Upon reactivation of your phone, you may be assigned a new telephone number. Any airtime remaining on your handset at the time of deactivation will be reinstated if your phone is reactivated within 60 days from the deactivation date. If your phone remains inactive for more than 60 days, you will lose any remaining airtime. If you have been de-enrolled from the SafetyNet Wireless LifeLine Service but you wish to keep your service active, you must purchase and redeem additional airtime and service days before the Service End Date. To prevent any interruption in your LifeLine phone service, please keep your handset service active by using it to place or receive a call every 30 days and by completing your annual re-certification as required by the SafetyNet Wireless LifeLine Service before your Service End Date. 7. TERMINATION OF SERVICE You are entitled to a voice-grade connection. You may terminate your service without penalty at any time by notifying SafetyNet Wireless and returning your handset to us. Any applicable service connection charges and deposits will be refunded if you terminate service within three days of service activation, not including national holidays. You agree not to give away, resell or offer to resell the SafetyNet Wireless Phone or Service provided by the SafetyNet Wireless Program. You also agree your SafetyNet Wireless Phone will not be used for any other purpose that is not allowed by this agreement or that is illegal. WE CAN, WITHOUT NOTICE, LIMIT, SUSPEND, OR END YOUR SERVICE AND DE-ENROLL YOU FROM THE SafetyNet Wireless Program FOR VIOLATING THIS PROVISION OR FOR ANY OTHER GOOD CAUSE, including, but not limited to, if You: (a) violate any of the terms and conditions of service; (b) lie to us or attempt to defraud us; (c) allow anyone to tamper with your SafetyNet Wireless Phone; (d) threaten or commit violence against any of our employees or customer service representatives; (e) use vulgar and/or inappropriate language when interacting with our representatives; (f) steal from us; (g) harass our representatives; (h) interfere with our operations; (i) engage in abusive messaging, ing or calling; (j) modify your device from its manufacturer's specification; or (k) use the service in a way that adversely affects our network or the service available to our other customers. We reserve the right to, without notice, limit, suspend or end your service for any other operational or governmental reason. In addition to permanently terminating your Service, criminal offenses (i.e., selling or giving away your Service; threatening violence, etc.) will be reported to the appropriate legal authorities for prosecution. 8. UNAUTHORIZED USAGE The SafetyNet Wireless handset is provided exclusively for use by you, the end consumer with the SafetyNet Wireless Service available solely in the United States, Puerto Rico and the U.S. Virgin Islands. Any other use of your SafetyNet Wireless handset, including without limitation, any resale, unlocking and/or re-flashing of the handset is unauthorized and constitutes a violation of your agreement with SafetyNet Wireless. You agree not to unlock, reflash, tamper with or alter your SafetyNet Wireless phone or its software, enter unauthorized PIN s, engage in any other unauthorized or illegal use of your SafetyNet Wireless phone or the Service, or assist others in such acts, or to sell and/or export SafetyNet Wireless handsets outside of the United States. These acts violate SafetyNet Wireless rights and state and federal laws. Improper, illegal or unauthorized use of your SafetyNet Wireless phone is a violation of this agreement and may result in immediate discontinuance of Services and legal action against you. SafetyNet Wireless will prosecute violators to the full extent of the law. SafetyNet Wireless Unlocking Policy 1. Prepaid LifeLine Unlocking Policy. SafetyNet, upon request, will unlock prepaid LifeLine mobile wireless devices no later than one year after initial activation, consistent with reasonable time, payment or usage requirements. 2. Notice. SafetyNet will clearly notify customers that their devices are eligible for unlocking at the time when their devices are eligible for unlocking or automatically unlock devices remotely when devices are eligible for v. APR2015 Page 5

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