Qualify for Lifeline
Free Lifeline Smartphone with service, free for 1 year!
Choose a location to pick up.
9000 Rainier Ave S, suite B2 Seattle WA 98118
212 1st St NE Auburn WA 98002
1209 S Memorial Dr, Tulsa, OK 74112
Lummi Shore Bellingham WA 98226
Name
First Name
Last Name
Date if birth
-
Month
-
Day
Year
Date
SSN
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Schedule
S.N.A.P, Ebt(food stamps)
State Medical insurance(Medicaid)
Supplemental Security Income
Social Security Income
Public Housing
WIC
Proof if benefits
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: