Wave Broadband April 18, 2020

Apply Via Mail

Prefer to apply through mail? Please download and complete the below form, make a copy of your qualification documents and mail to:

Quality Assurance Department
East Mountain Corporate Center
100 Baltimore Drive
Wilkes Barre, PA 18702

+

Download Application

Personal/Photo Identification

Public Assistance Documentation

Please upload one (1) form of Primary identification OR two (2) forms of Secondary identification:

PRIMARY IDENITIFICATION

  • Current US, Mexican or Canadian driver’s license or state photo ID or expired photo driver’s license which is not more than five (5) years old from the expiration date.
  • Current US Passport
  • Current Foreign Country Passport
  • Current photo US Military ID/Merchant Marine card
  • Current photo US Military Dependent card
  • Valid Resident Alien Card Permeant Resident Card (INS Form I-551)
  • Certification of US Citizenship (N-560 or N-561)
  • Certification of Naturalization (N550, N-570, or N578)
  • Employment Authorization Documentation (INS Form I-688 or I-766)
  • Photo employment ID card issued by US Government agency prison ID cards are not acceptable
  • Current Welfare/Social Services photo ID card

 

SECONDARY IDENITIFICATION

  • Non-photo driver’s license
  • US Department of State Non-Immigrant Visa
  • Social Security card
  • Court demand in applicant’s name – must contain full name, date of birth (DOB), court seal
  • Examples: Marriage certificate, Divorce degree, Legal name change
  • Current weapons or gun permit with photo
  • Current school photo ID card
  • Medicare/Medicaid card

FILE FORMATS
The following file formats are accepted with maximum file size of 7 MB each.

  • .JPG (JPEG Image File)
  • .TIFF (Tagged Image File Format)
  • .GIF (Graphical Interchange Format File)
  • .PNG (Portable Network Graphic)
  • .PDF (Portable Document Format File)
  • .DOCX (Microsoft Word Open XML Document)
  • .DOC (Microsoft Word Document)

Close

Please upload one (1) or more of the following forms of assistance program documentation. Documents must be from 2020 or 2019:

  • MEDICAID: card or most recent eligibility letter for an adult in your household.
  • Public housing assistance documentation such as your lease, housing assistance payment (HAP) contract, or eligibility documentation from HUD.
  • SNAP: letter indicating you are approved for Supplemental Nutrition Assistance Program benefits.
  • TANF: eligibility letter for Temporary Assistance for Needy Families.
  • SSI: eligibility letter for Supplemental Security Income.
  • NSLP/Head Start: copy of a letter indicating current participation in the National School Lunch Program or Head Start, with your child’s name, the school name, and the address of where you are requesting service.
  • LIHEAP: letter confirming your eligibility for Low Income Home Energy Assistance Program.
  • WIC: eligibility letter for the Women, Infants, and Children program.
  • FEDERAL PELL GRANT: (Colorado and Illinois only) documentation from your community college’s financial aid office.
  • VA PENSION: veterans pension eligibility determination letter from the Veterans Administration.
  • Tribal assistance eligibility letter, including TTANF, FDPIR, etc.

FILE FORMATS
The following file formats are accepted with maximum file size of 7 MB each.

  • .JPG (JPEG Image File)
  • .TIFF (Tagged Image File Format)
  • .GIF (Graphical Interchange Format File)
  • .PNG (Portable Network Graphic)
  • .PDF (Portable Document Format File)
  • .DOCX (Microsoft Word Open XML Document)
  • .DOC (Microsoft Word Document)

Close

[site_disclaimer]