Household Worksheet (Lifeline)

What is the purpose of the worksheet

Use this worksheet if someone else at your address gets Lifeline. The answers to these questions will help you find out if there is more than one household at your address.

What is a household?

A household is a group of people who live together and share income and expenses (even if they are not related to each other).

Examples of one household:
• A married couple who live together are one household. They must share one Lifeline benefit.
• A parent/guardian and child who live together are one household. They must share one Lifeline benefit.
• An adult who lives with friends or family who financially support him/her are one household. They must share one Lifeline benefit.
Examples of more than one household:
• 4 roommates who live together but do not share money are 4 households. They can have one Lifeline benefit each, 4 total.
• 30 seniors who live in an assisted-living home are 30 households. They can have one Lifeline benefit each, 30 total.

Household expenses

A household shares expenses. Household expenses include, but are not limited to, food, healthcare expenses, and the cost of renting or paying a mortgage on your place of residence and utilities.

Income

Households share income. Income includes salary, public assistance benefits, social security payments, pensions, unemployment compensation, veteran’s benefits, inheritances, alimony, child support payments, worker’s compensation benefits, gifts, and lottery winnings.

This is how a Lifeline Program Household Worksheet will look like: