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.
Please Download and fill out the form, save the form once completed, 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.