MO Universal Service Fund

Application for Support

    Telecommunications companies approved by the Missouri Universal Service Board to receive support payments from the Fund should use this form to request payment from the fund for discounts applied to low income or disabled subscribers. Please remember that this form is available to submit electronically by clicking on the "Online Form Submission" link from the Quick Links area to the left of the screen.

    For Support requests from December 13, 2019 through November 30, 2020, please click here to get form.

    For Support request from December 1, 2020 and going forward, please click here to get form.

Electronic Funds Transfer Application
    Please use this form should you wish to remit or receive payments electronically.

Application for Low Income or Disabled discounts through the Missouri Universal Service Fund

Board approved Applications for Support can be obtained by clicking on the appropriate link below:

Application for the Lifeline Program
Missouri Application for the Disabled Program
Lifeline Program Household Worksheet

Please complete the appropriate form and give to your local telephone company.