Line Extension Customer Assistance Program

Line Extension Customer Assistance Program - Household Application


Submit Application

Application Submission Steps:

All fields marked With * Are required for submissions. Click Please Note: Fields marked with + are required if address information is is not the same as applicant's

Please Note: Most questions can be answered with Yes Or No. Some questions may require you to enter in longer form answers

When form is complete please submit it to DHCD by clicking the Submit Button.

If you have an questions please contact: DHCD LECAP Program.

I understand that any misrepresentation, falsification, or omission of any facts called for in the application may render this Application void and will be cause for termination, whenever discovered.***






*Is this the Primary Residential Address of the individual listed above?
Yes | No


*Is your current monthly gross household income when multiplied by 12 (12 x your monthly gross income) less than or equal to $170,340.00?
Yes | No
*By continuing this application, you are stating that you understand that LECAP participants must subscribe to internet service following the activation to the property.
Yes | No
*If you are eligible, would you like to take part in the Affordable Connectivity Program?
Yes | No


*I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief. I understand that any misrepresentation, falsification, or omission of any facts called for in the application may render this Application void and will be cause for termination, whenever discovered.***
Yes | No
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