Denning, NY · Ulster County
Special Protections for Senior Citizens and Persons with Disabilities
This form lets eligible older adults and people who are blind or have a disability sign up for Verizon’s Special Protections and Third-Party Notification programs.
What this form is
Use this form to sign up for Verizon’s Special Protections program and Third-Party Notification. The document says people who are 62 or older, blind, or have a disability may sign up for Special Protections, which may help prevent phone service from being blocked or turned off and provides eligibility for priority repairs. Third-Party Notification lets Verizon send overdue bill or service turnoff notices to another person or agency.
Who needs it
People age 62 or older, people who are blind, or people with a disability may use this form to sign up for Verizon’s programs.
How to submit it
Complete the form and mail it to Verizon SRC, P.O. Box 4846, Trenton, NJ 08650-4846.
About notarization
This document is signed without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Special Protections form.
- 2
Complete The Form
Fill in the form to sign up for the program or programs.
- 3
Gather Attachments
The document does not list any attachments to gather.
- 4
Mail The Form
Mail the completed form to Verizon SRC, P.O. Box 4846, Trenton, NJ 08650-4846.
Frequently asked questions
- Who can sign up for Special Protections?
- The document says people age 62 or older, people who are blind, or people with a disability may sign up for Verizon’s Special Protections program.
- What does Third-Party Notification do?
- It authorizes Verizon to send overdue bill or service turnoff notices to another person or agency. The subscriber remains responsible for paying the bill.
- Do I need a notary for the Special Protections form?
- No. This document is signed without a notary; the signer just signs and dates it.
- How do I submit the Special Protections form?
- Complete and mail it to Verizon SRC, P.O. Box 4846, Trenton, NJ 08650-4846.
Need something notarized?
This Special Protections for Senior Citizens and Persons with Disabilities doesn’t need a notary — but if you have another Denning form that does, a commissioned online notary can help.