Step 1: Verify:
Verify your household’s eligibility at
*Please be sure to write down your application number, as you will need this for Step 2.
Step 2: Consent:
Provide CCB with a signed consent form. Either email the form to [email protected] or pick up/drop off a paper copy at our local office 10366 Hwy 5, Brent, AL 35034.
Step 3: Enroll:
Once you have filled out the consent form, a CCB Customer Service Representative will verify your eligibility and call you to confirm ACP enrollment.
APC Program Packages
* Please have your package selected in advance.