Application Package

• Download Basic Package - (Cover Letter, Application, United States Citizenship Form, Application Completion Guidelines, Participating Venders)
• Cover Letter
• Application Form
• United States Citizenship Attestation Form
• Application Completion Guidelines
• Program Policies and Procedures
• CapTel Information Sheet
• Participating Vendors
• Providers Offering Wireless Devices and Calling Plans
• Procedures for Selecting Jitterbug Wireless Services
• Jitterbug Order Form
• Procedures for Selecting Sprint Wireless Services
• Sprint Order Form
• Procedures for Selecting Verizon Wireless Services (Under Construction)
• Verizon Order Form (Under Construction)
• Frequently Asked Questions
• Application Form - Visually Impaired Version
• Application Form - Spanish Version - UNDER CONSTRUCTION
• Supplemental Application Form - Tactile Ring/LVD/Telebrailler (Please print on yellow paper)