Low-Income Telephone And Electric Discount Programs (Lite-Up) Enrollment Form printable pdf download

Low-Income Telephone and Electric Discount Programs (LITE-UP) Enrollment Form

The LITE-UP Texas Program can:

1. Provide a discount off your monthly telephone bill.

2. Provide a discount on your electric bill if you live in an area where you have a choice of electricity providers

(May through August 2015 bills)

3. Additional benefits for electric service include: Waiver of late payments and option to pay the security deposit

in two installments, if over $50.00.

What should I send in along with my application?

Along with your signed application, you must send in documentation that shows that you are eligible for a qualified benefit

(SNAP, Medicaid, etc.) or documentation showing your total household income. You must also send the completed and

signed Lite-up Texas Certification Form and, if you live with multiple families, you must send the completed and signed Lite-

Up Texas Household Worksheet.

What are the qualifications for the Lite-up Texas discounts?

You can qualify for the Telephone discount if anyone in your household receives SNAP, Medicaid, CHIP, LIHEAP, Federal

Public Housing assistance, TANF, National School Lunch Program – Free Lunch Program, or SSI, or have a total household

income that is less than 150% of the federal poverty guideline.

To qualify for the Electric discount, the applicant must be eligible for SNAP or Medicaid, or have a total household income

that is less than 125% of the federal poverty guideline.

How do I know if I qualified for the Lite-up Texas discounts?

If you provided an email address the status of your application will be sent to you as soon as we review your application. If

you did not provide an email address, you will only be notified if you were not approved for the Lite-up Texas discounts.

How long will it take before I see the discount on my bills?

We determine your eligibility during the last week of each month. If the information we have on file for you (i.e., name &

address) matches the information provided by your telephone and electric company then you should see your discount on

your next bill. Please note that the telephone discount will be applied to your bills throughout the year but the electric discount

will only show on your bills from May through August 2015.

If you do not provide a completed and signed Certification Form and Household Worksheet (if applicable), you will not receive

the Lite-up Texas Telephone discount.

How often do I have to apply?

You need to submit an application at least every 7 months. If you are certified for the LITE-UP Texas discount an application

will be sent to you approximately two months prior to your expiration. If you change your address or telephone number, you

should re-submit an application so that we can update your information.

Mail the completed signed application and required documentation to:

LITE-UP Texas

1779 Wells Branch Parkway

Suite 110B #357

Austin, Texas 78728-7022

You may also FAX the signed application and required documentation to 1-877-215-8018

For Questions, Call LITE-UP Texas toll-free at 1-866-454-8387 or

Low-Income Telephone And Electric Discount Programs (Lite-Up) Enrollment Form