Application Forms

Superior Service Just a Form Away!

All forms can be emailed to customerservice@lajicarita.com or fax us at 575-387-9010

Application Requirements

ALL FORMS INCLUDED IN THE APPLICATION SECTION FOR TELEPHONE AND INTERNET SERVICE MUST BE COMPLETED.

Telephone Service required for Internet Service
Supplemental material required with application are:
1. Letter of credit (from prior/current utility)
2. Current drivers license
3. Property’s physical address which can be obtained from the Mora County Planning and Zoning office 575-387-5393.

Telephone Service Form

Click here to complete all the required forms for Telephone service.
Once completed, save the PDF and email it to us at customerservice@lajicarita.com

Internet Service Form

Click here to complete all the required forms for Internet service.
Once completed, save the PDF and email it to us at customerservice@lajicarita.com

Lifeline Application

Lifeline is a federal benefit that lowers the monthly cost of phone or internet service. Complete this form to check eligibility and to sign up for service.