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What is the ACP?

The Affordable Connectivity Program is an FCC program that helps connect families and households struggling to afford internet service.
The benefit provides:
  • Up to $30/month discount for internet service;
  • Up to $75/month discount for households on qualifying Tribal lands; and
  • A one-time discount of up to $100 for a laptop, desktop computer, or tablet purchased through a participating provider.
WHO IS ELIGIBLE? ( For more info:
A household is eligible if one member of the household meets at least one of the criteria below:
  • Has an income that is at or below 200% of the Federal Poverty Guide lines;
  • Participates in certain assistance programs, such as SNAP, Medicaid, Federal Public Housing Assistance, SSI, WIC, or Lifeline;
  • Participates in Tribal specific programs, such as Bureau of Indian Affairs General Assistance, Tribal TANF, or Food Distribution Program on Indian Reservations;
  • Is approved to receive benefits under the free and reduced-price school lunch program or the school break fast program, including through the USDA Community Eligibility Provision;
  • Received a Federal Pell Grant during the current award year; or
  • Meets the eligibility criteria for a participating broadband provider’s existing low-income program.
Only one monthly service discount and one device discount is allowed per household (in addition to existing Lifeline benefits)

We're happy to provide quality services to you at affordable prices all with the ACP benefit!

Please click here to submit your application first to USAC.

Then simply enter your approval number into our form below or by calling us at 877-853-3443.

Customer Information

Residential Address

Must be a street address (not a P.O. Box) and your principal residence. This address must also match the billing address on your Xchange account. If it does not, please take this opportunity to update your Xchange account before completing this form.

Plan Selection

Package price after ACP benefit (not including Lifeline where available):

Qualification through dependent (Optional)

If qualifying through a school lunch program:

Qualify through a government program or loss of income:

Terms & Conditions: (Please initial each box with the first letter of your first and last names. Example: John Doe would be JD)

I (or my dependent or other person in my household) currently get benefits from the government program(s) listed on this form, experienced a substantial loss of income since February 29, 2020, or my annual household income is 135% or less than the Federal Poverty Guidelines (the amount listed in the Federal Poverty Guidelines table on this form).
I agree that if I move I will give my service provider my new address within 30 days
I understand that I have to tell my service provider within 30 days if I do not qualify for the ACP Program anymore, including: 1.) I, or the person in my household that qualifies, do not qualify through a government program or income anymore. 2.) Either I or someone in my household gets more than one ACP Program benefit.
I know that my household can only get one ACP Program benefit and, to the best of my knowledge, my household is not getting more than one ACP Program benefit. I understand that I can only receive one connected device (desktop, laptop, or tablet) through the ACP Program, even if I switch ACP providers.
I agree that all of the information I provide on this form may be collected, used, shared, and retained for the purposes of applying for and/or receiving the ACP Program benefit. I understand that if this information is not provided to the Program Administrator, I will not be able to get ACP Program benefits. If the laws of my state or Tribal government require it, I agree that the state or Tribal government may share information about my benefits for a qualifying program with the ACP Program Administrator. The information shared by the state or Tribal government will be used only to help find out if I can get an ACP Program benefit.
For my household, I affirm and understand that the ACP Program is a temporary federal government subsidy that reduces my broadband internet access service bill and at the conclusion of the program, my household will be subject to the provider’s undiscounted general rates, terms, and conditions if my household continues to subscribe to the service.
All the answers and agreements that I provided on this form are true and correct to the best of my knowledge.
I know that willingly giving false or fraudulent information to get ACP Program benefits is punishable by law and can result in fines, jail time, de-enrollment, or being barred from the program.
I was truthful about whether or not I am a resident of Tribal lands, as defined in the "Your Information" section of this form.
Xchange’s applicable Terms and Conditions of service apply to existing or newly activated service (a copy may be obtained by visiting For purposes of the ACP program, the term “Tribal Lands” includes any federally recognized Indian tribe’s reservation, pueblo, or colony, including former reservations in Oklahoma, Alaska Native regions established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688), Indian allotments, and Hawaiian Home Lands.
In Accordance with Heter Iska.

Frequently Asked Questions