ACP Consent Form

Affordable Connectivity Program Disclaimer & Customer Acknowledgement

You acknowledge that we are providing Internet access service to you pursuant to the Affordable Connectivity Program (ACP). The ACP is a government program developed by the Federal Communications Commission (FCC) that will reduce your Internet access service bill.

Your household must meet certain eligibility criteria to participate in the ACP, and only certain ValuNet FIBER Internet service plans are eligible to receive a discount under the ACP. We may request additional information regarding your eligibility status at any time. You may be de-enrolled from the ACP and no longer receive the discount if you no longer meet the criteria for receiving the ACP discount.

The ACP is a program of the federal government and may be ended at any time. If the program is discontinued and you choose to continue to receive service from us, you will be subject to our un-discounted rates and general terms and conditions. We will inform you if the ACP is scheduled to end, and when your new rates will take effect.

You may obtain Internet access service supported by the ACP from any participating provider of your choice, and you may transfer your ACP benefit to another participating provider at any time. Only one ACP discount per household is permitted. You may not transfer your ACP discount to another person. You may be de-enrolled from the ACP if you receive the ACP discount from another provider.


1. In order to successfully complete the enrollment, the information provided on the application and consent form must match exactly. Examples include:

  • If you did not qualify using the Social Security # please leave that field blank on the consent form.
  • If you placed a (.) after the street name such as 100 Lawrence St.  then please do so on the consent form.

2. If a dependent was used to qualify, you will need to include their personal identification information as well, including First/Last Name, Date of Birth and Last 4 Digits of Social Security #.