California LifeLine Related Forms and Notices For Carriers
Information for Carriers
California LifeLine Program - Rules and Regulations
- Decision 23-06-003 - Decision Approving Pilot Programs to Leverage Federal Affordable Connectivity Program Funds
- General Order 153 - Revised Pursuant to D.21-09-023 and effective December 1, 2021
- Decision 21-09-023 - Revises General Order 153, Authorizing Eligibility Verifications Through Database Access, and Establishing Specific Support Amounts.
- Decision 20-10-006 - Establishing Specific Support Amounts and Minimum Service Standards for California LifeLine Program and Authorizing replacement of Federal Support for Wireline Participants
- Decision 20-02-042 - Extending Authorization to Replace Federal Support for California-Only Participants
- Connection/Activation Reimbursement 2016
- Resolution T-17337 - Sets the Specific Support Amount Subsidy for the California LifeLine Program at $11.50 effective January 1, 2012.
- General Order 153 - (Effective December 1, 2011 - November 30, 2021)
- Resolution T-17321 - Revises General Order 153 effective December 1, 2011.
- General Order 153 - (Effective July 1, 2009 - November 30, 2011)
- Resolution T-17202 - Revises General Order 153 to reflect administrative revisions to the California LifeLine Program effective July 1, 2011.
- General Order 153 - Public Utilities commission of the State of California - Procedures for administration of the Moore Universal Telephone Service Act effective May 3, 2007 - June 30, 2009.
- Decision D.10-11-033 - Adopting forward-looking modifications to California LifeLine Program in compliance with the Moore Universal Telephone Service Act effective November 19, 2010.
- Decision D.08.08.029 - Adopting a Pre-Qualification Requirement for the California LifeLine Program and Resolving Remaining Phase 2 Issues effective July 1, 2009. Appendices
- Rulemaking R20.02.008 - Docket listing all documents pertaining to California LifeLine rules, documents and decisions.
How to Become a California LifeLine Service Provider
- For carriers interested in offering California LifeLine service in California, please contact Kellie Jones (kellie.jones@cpuc.ca.gov) to answer any questions and to begin the process of database interface with the 3rd party administrator. Questions related to claims of reimbursement from the ULTS Fund can be addressed to lifelineclaim@cpuc.ca.gov. For all general inquiries send questions to lifeline@cpuc.ca.gov.
California LifeLine Administrator
- Notice to All Californina LifeLine Service Providers (Admin Letter 3) - Guidance regarding the submission of advice letters and reimbursement claims for the Affordable Connectivity Program Pilots
- Notice to All California LifeLine Service Providers (New Claim Process 2023) - Beginning on January 30, 2023, all service providers must submit claims to the California LifeLine program via eCAP.
- SSA Administrative Letter - 2023
- Notice to All California LifeLine Service Providers (April 21, 2022) - Guidance Regarding Advice Letters and Reimbursement Claims for Participating in the FCC EBB Program and ACP
- Guidance Regarding The Acceptable Types of Identification Documents (February 11, 2022)
- SSA Administrative Letter - 2022
- Notice to All California LifeLine Service Providers (June 22, 2021) - Guidance Regarding Advice Letters and Reimbursement Claims for Participating in the FCC EBB Program
- SSA Administrative Letter - 2021
- Interim Implementation Cost for September to December 2019 (February 3, 2020)
- SSA Administrative Letter - 2020
- Amended Claim Instructions for July to August 2019 (August 5, 2019)
- Interim Implementation Cost for July to August 2019 (August 5, 2019)
- Amended Claim Instructions for April to June 2019 (June 24, 2019)
- Interim Implementation Cost for April to June 2019 (June 24, 2019)
- Interim Claim Instructions for April to May 2019 (May 20,2019)
- Implementation Costs to transition to the new Third-Party Administrator, Maximus (February 11, 2019)
- SSA Administrative Letter - 2019
- Implementation of the California LifeLine Eligibility Criteria Provisions (August 27, 2018)
- Replacement for Form 497 in California LifeLine Claim Filings
- CPUC's Executive Director Notice regarding Emergency Consumer Protections for Counties Impacted by the December 2017 Wildfires
- SSA Administrative Letter - 2018
- SSA Administrative Letter - 2017
- California LifeLine Expedited Payment Option (August 4, 2016)
- CPUC’s Response to FCC Commissioner Pai’s Request for Information regarding the California LifeLine Program (July 27, 2016)
- SSA Administrative Letter - 2016
- Claim Payment Schedule Notification (June 8, 2015)
- Effective Date on Denials Global Issue (February 12, 2015)
- Guidance for Acceptable Identification Documents
- SSA Administrative Letter - 2014
- Guidance for Advice Letter Components regarding California Lifeline Wireless Services (February 14, 2014)
- Revised Administrative Letter - 2013 SSA - Sets the Specific Support Amount Subsidy for the California LifeLine Program at $11.50 effective January 1, 2013.
- Specific Support Amount (SSA) - 2013
- Notice to All California LifeLine Service Providers (December 3, 2012) - Offering California LifeLine Program Discounts
- Notice to All California LifeLine Service Providers (November 30, 2012) - California LifeLine Rates Beginning January 1, 2013
- Notice to All Carriers (September 13, 2012) - Implementation Costs to transition to a new third-party administrator, Xerox
- Notice to All Carriers (October 14, 2011) - Captioned telephone technology in the California LifeLine program
- Notice to All Carriers (September 9, 2011): Implementation of Weighted Average Subscriber Report in compliance with Decision D.10-11-033.
- Administrative Letter - Solix Form Name Changes (June 25, 2009)
- Notice to All Carriers Providing Residential Telephone Service dated February 27, 2009
- September 29, 2008 Workshop Staff Report
- Carrier instructions regarding toll-limitation
- California LifeLine Program Rates - Effective January 1, 2009
- 2023 - 2024 California LifeLine Income Limits and Revised 2022 - 2023 Limits
- 2022 - 2023 California LifeLine Income Limits
- 2021 - 2022 California LifeLine Income Limits
- 2020 - 2021 California LifeLine Income Limits
- 2019 - 2020 California LifeLine Income Limits
- 2018 - 2019 California LifeLine Income Limits
- 2017 - 2018 California LifeLine Income Limits
- 2016 - 2017 California LifeLine Income Limits
- 2015 - 2016 California LifeLine Income Limits
- 2014 - 2015 California LifeLine Income Limits
- 2013 - 2014 California LifeLine Income Limits
- 2012 - 2013 California LifeLine Income Limits
- 2011 - 2012 California LifeLine Income Limits
- 2010 - 2011 California LifeLine Income Limits
- 2009 - 2010 California LifeLine Income Limits
- 2008 - 2009 California LifeLine Income Limits
California LifeLine Program Flat Rate Cost Factor (CF) pursuant to Decision D.03.01.035
Information - Only Filings
For All Service Providers on the California Lifeline Program: New Claim Process launched on 1/30/2023. Please request for access from the lifelineclaim@cpuc.ca.gov if you did not receive access. Please view the link below for Wireless and Wireline to access the eCAP portal.
ACP Pilot Only - For Claim Periods on or after July 1, 2023
- For wireless claims for reimbursement beginning with the July 2023 claim period, please use the California LifeLine Wireless Claim Form Effective 08.01.2023. Instructions and Sample Wireless Claim Form are available.
For Claims submitted on or after January 30, 2023, eCAP Launch
- Please use the following link when account is created. https://ecap.cpuc.ca.gov/s/
For Claim Periods on or after January 1, 2022
- For wireless claims for reimbursement beginning with the January 2022 claim period, please use the California LifeLine Wireless Claim Form Effective 01.01.2022. Instructions and Sample Wireless Claim Form are available.
For Claim Periods on or after May 1, 2021
- For wireless claims for reimbursement beginning with the May 2021 claim period, please use the California LifeLine Wireless Claim Form Effective 05.01.2021. Instructions and Sample Wireless Claim Form are available.
For Claim Periods on or after December 1, 2020
- For wireless claims for reimbursement beginning with the December 2020 claim period, please use the California LifeLine Wireless Claim Form Effective 12.01.2020. Instructions and Sample Wireless Claim Form are available.
For Claim Periods on or after December 1, 2019
- For wireless claims for reimbursement beginning with the December 2019 claim period, please use the California LifeLine Wireless Claim Form Effective 12.01.2019. Instructions and Sample Wireless Claim Form are available.
For Claim Periods on or after May 1, 2018
- For wireless claims for reimbursement beginning with the May 2018 claim period, please use the California LifeLine Wireless Claim Form Effective 05.01.2018. Instructions and Sample Wireless Claim Form are available.
For Claim Period on or after March 1, 2014:
- For claim reimbursement after March 1, 2014, please use this version of Wireless California Lifeline Claim Form (G.O. 153, D.14-01-036, D.10-11-033/Res. T-17321), and Instructions.
Claim form and supporting documents can be submitted via e-mail to lifelineclaim@cpuc.ca.gov.
ACP Pilot Only - For Claim Periods on or after July 1, 2023
- For wireline claims for reimbursement beginning with the July 2023 claim period, please use the California LifeLine Wireline Claim Form Effective 08.01.2023. Instructions and Sample Wireline Claim Form are available.
For Claims submitted on or after January 30, 2023, eCAP Launch
- Please use the following link when account is created. https://ecap.cpuc.ca.gov/s/
For Claim Periods on or after January 1, 2022
- For wireline claims for reimbursement beginning with the January 2022 claim period, please use the California LifeLine Wireline Claim Form Effective 01.01.2022. Instructions and Sample Wireline Claim Form are available.
For Claim Periods on or after May 1, 2021
- For wireline claims for reimbursement beginning with the May 2021 claim period, please use the California LifeLine Wireline Claim Form Effective 05.01.2021. Instructions and Sample Wireline Claim Form are available.
For Claim Periods on or after December 1, 2020
- For wireline claims for reimbursement beginning with the December 2020 claim period, please use the California LifeLine Wireline Claim Form Effective 12.01.2020. Instructions and Sample Wireline Claim Form are available.
For Claim Periods on or after December 1, 2019
- For wireline claims for reimbursement beginning with the December 2019 claim period, please use the California LifeLine Wireline Claim Form Effective 12.01.2019. Instructions and Sample Wireline Claim Form are available.
For Claim Periods on or after May 1, 2018
- For wireline claims for reimbursement beginning with the May 2018 claim period, please use the California LifeLine Wireline Claim Form Effective 05.01.2018. Instructions and Sample Wireline Claim Form are available.
For Claim Period on or after December 1, 2011:
- For claim reimbursement after December 1, 2011, please use this version of California Lifeline Claim Form (G.O. 153, D.10-11-033/Res. T-17321), Instructions, and claim form example with formula
For Claim Period on or after July 1, 2009:
- For claim reimbursement after July 1, 2009, please use this version of California LifeLine Claim Form (G.O. 153 - D.08-08-029 / Res. T-17202) and Instructions
For Claim Period on or before June 30, 2009:
- For claim instruction and sample form, please go to G.O.153 Section 9 and Appendix D
- For bad debt calculations and information please go to G.O. 153 Section 9.3.9. Sample bad debt spreadsheet should be included with monthly claim.
Claim form and supporting documents can be submitted via e-mail to lifelineclaim@cpuc.ca.gov