Back To FREEBENEFITS.ORG Free Benefits Find Out What You Qualify For! Consent(Required) I have read the information in the box below: Filling out the form for free phones, healthcare, and other essential benefits is a smart and simple way to access valuable resources that can improve your quality of life. The form is 100% secure and designed to protect your personal information every step of the way. If you were redirected to DREAMTouch Agency, don’t worry — that’s intentional. DREAMTouch Agency is an authorized and trusted partner helping connect individuals to these free government-backed programs. By working with DREAMTouch, you’re ensuring that your application is handled properly and efficiently, giving you a better chance of receiving the benefits you qualify for. About You Your Name(Required) First Last Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Your Email Address(Required) Email Address Confirm Email Address Your Phone(Required) Social Security Number(Required) Date Of Birth(Required) MM slash DD slash YYYY What Free Benefit Are You Looking For?(Required) Free Healthcare Free Phone Other If you selected "Other" Please explain in the box below. What Benefits Do You Currently Receive(Required) Snap/EBT/Food Stamps Medicaid SSI Section 8 Veterans Pension Income Requirements ***The more benefits you already have, the more benefits we can further qualify you for*** Please Upload A Copy Of Your Drivers License/Passport(Required) Max. file size: 3 GB. Please Upload Proof Of Benefit (Optional) Max. file size: 3 GB. To speed up the process, please upload an Award Letter or Benefit Letter that shows you get government assistance. This helps qualify you for many programs. Thank you for completing the form! Please Leave Your Comments/Questions below. Back To FREEBENEFITS.ORG
