LifeLine Requirements

Should an emergency arise, the information you give will be used so that LifeLine technicians can contact the correct people and get to your location as fast as possible. All the answers you give are kept strictly confidential and are only used in the event of an emergency.

Call 631-477-8464 if you have any questions.

LifeLine Application


  • We need the name and contact info of three contact people you trust.




  • After you press the 'Submit' button, the NFWFWF Grant Coordinator will receive your information and send it to our representative at LifeLine. An appointment will be arranged to set up your new service at a time that is convenient for both of you. Please leave us a message if you have any questions at 631-477-8464. We will be back to you.