1. The Affordable Connectivity Program is a government program that reduces the customer’s broadband internet access service bill;
  2. The household may obtain ACP-supported broadband service from any participating provider of its choosing;
  3. The household may apply the ACP benefit to any broadband service offering of the participating provider at the same terms available to households that are not eligible for ACP-supported service;
  4. The provider may disconnect the household’s ACP-supported service after 90 consecutive days of non-payment;
  5. The household will be subject to the provider’s undiscounted rates and general terms and conditions if the program ends, if the consumer transfers their benefit to another provider but continues to receive service from the current provider, or upon de-enrollment from the Affordable Connectivity Program; and
  6. The household may file a complaint against its provider via the Commission’s Consumer Complaint Center.

Affordable Connectivity Program Application Form

This is the only form for application to the Affordable Connectivity Program.

  • MM slash DD slash YYYY
  • Please provide account number that is on your current bill.
  • Please provide the Affordable Connectivity Program (ACP) ID Number that was given to you when you enrolled.
    Please select one
  • Please Fill in your year of birth
  • Please provide the best number to reach you at
  • Subscriber Consent


    By signing this form, I give my affirmative consent that I want to participate in the Affordable Connectivity Program through Inter Mountain Cable, Coalfields Telephone or Mikrotec CATV and that I understand and certify that:

  • Signature Needed