Benefit Transfer

TransWorld Network, LLC. Affordable Connectivity Program Benefit Transfer

Please complete the form utilizing the same information as you provided to the National Verifier for approval. The Form acknowledgments/certifications must be initialed, and form must be signed off on.

    I acknowledge that I, the subscriber, will be transferring my ACP benefit to TransWorld Network, LLC. (TWN).*

    I acknowledge that the effect of the transfer is that my affordable connectivity program benefit will be applied to TWN’s service and will no longer be applied to service retained from the transfer-out provider.*

    I acknowledge that I may be subject to the transfer-out provider’s undiscounted rates as a result of the transfer if I elect to maintain service from the transfer-out.*

    I acknowledge that I am limited to one ACP benefit transfer transaction per service month, with limited exceptions for situations where the subscriber seeks to reverse an unwanted transfer or is unable to receive service from a specific provider.*

    *Required field
    †Electronic Signature (eSignature): You consent and agree that your use of a keypad, mouse, or other device to select an item, button, icon, or similar act/action, or to otherwise provide TWN Communications; or in accessing or making any transactions regarding any document, agreement, acknowledgement, consent terms, disclosures, or conditions constitutes your signature, acceptance, and agreement as if signed by you in writing. Further, you agree that no certification authority or other third-party verification is necessary to validate your electronic signature; and that the lack of such certification or third-party verification will not in any way affect the enforceability of your signature or resulting contract between you and TWN Communications. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement. You further agree that your eSignature executed in conjunction with the electronic submission of your form will be legally binding and such transaction will be considered authorized by you.
    THIS RECORD AND ANY RELATED DOCUMENTATION OF ELIGIBILITY MUST BE MAINTAINED FOR A MINIMUM OF 6 YEARS AFTER THE LAST DATE THE NAMED CUSTOMER RECEIVED BENEFITS.
    *Services provided by TransWorld Network, Corp. Service not available in all areas and not all plans available in all areas. With approved credit. Restrictions, terms, and conditions apply. Taxes, regulatory, installation/activation, surcharges and other charges not included. Call for additional details or visit the terms and conditionssection atwww.twncomm.com.
    †Eligibility is determined by the National Lifeline Eligibility Verifier (National Verifier), managed by the Universal Service Administrative Company (USAC). To learn more about qualificationfor this benefit, visit ACP at ACPBenefit.org.