Free Lifeline Smartphone Referral Program

First Name

Last Name

DOB

Phone

Email Address

Address

City

Zip code

Last 4 digits of SSN

Medicaid

SNAP (Supplemental Nutrition Assistance Program)

SSI (Supplemental Security Income)

Section 8 Housing

Veterans Pension and Survivors Benefit Program

Income Base (135% of Federal Poverty Guidelines)

Alternatively, you can send your ID to sbraxton@howardcountymd.gov or text: 240-743-9643.

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