MO Universal Service Fund

Application for Support Form

    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.

    An Application for Support Form should be submitted as soon as practical after a reporting period, but no later than three months.

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

Enrollment Forms:

Lifeline Program Enrollment Form
Disabled Program Enrollment Form
Lifeline Program Household Worksheet