Apply Today! 3 Easy Steps
1. Complete this section.
IMPORTANT, READ BEFORE SIGNING Limited Liability Agreement, the applicant hereby agrees that the CPUC and/or the State of California make(s) no warranties, either express or implied, with regard to the possession, use, condition, and/or operation of the telecommunications equipment provided to applicant as part of this program (the Equipment). The applicant hereby agrees to indemnify, defend, and hold harmless the CPUC and/or the State of California from any and all third party claims, costs (including without limitation reasonable attorneys’ fees), and losses which in any way arise out of or in connection with the possession, use, condition, and/or operation of the Equipment. The applicant hereby agrees that the CPUC and/or the State of California shall have no liability to the applicant or any other person with respect to any liability, loss, or damage caused or alleged to be caused, directly or indirectly, by or through the possession, use, and/or operation of the Equipment. I verify that I live in a household that subscribes to telephone service in California.
3. Choose one way to return this form.
P.O. Box 30310, Stockton, CA 95213
If you mail, fax, or email your completed form, you will receive a letter or phone call about how to select the best phone for your needs and it will be shipped to you. If you bring your form to a Service Center, you will be able to try out the phone and take it home with you.
Contact Center hours: Monday - Friday (8:00 AM - 6:00 PM), except holidays. Please check the website or call the Contact Center at 1-800-806-1191 to confirm hours.