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Fax – 914-946-2069

Telephone: 914-946-6878

Mailing Address:

Meals-on-Wheels of White Plains
311 North Street, Suite G-5
White Plains, NY 10605

Client Application Form Meals-on-Wheels of White Plains Service

This form is only for residents of the City of White Plains*, unable to shop or cook for themselves because of their medical condition (ex.- illness or injury) or advanced age to apply to receive Meals-on-Wheels for themselves or for a member of their family. If you are a family member completing the form for another person, please complete Section D, including the nature of your relationship (ex.- child, sibling, etc.) and be sure to provide our contact information. Thank your for considering the use of Meals-on-Wheels of White Plains service.

* Please note that Zip Codes & the City Line are NOT the same. Some areas in the following zip codes are included: 10603, 10604, 10607, 10605, 10606. If you have any questions regarding qualification of your zip codes, please contact us.

2025-07-01 Client Application for Meals-on-Wheels of White Plains Service Download

If you need assistance with our fee-for-service please download, complete and return a Financial Information Form so that we may compute a sliding scale for you based on income and expenses. This form MUST be submitted and on file for you the client to be considered for sliding scale reduction in the fee-for-service

Referral Forms for Agency (ex.-Social Worker, etc.)

If you are from an agency (ex. – Social Worker, Discharge Planner, Physical Therapist, Doctor, etc.) making a referral of a resident* of the City of White Plains to Meals-on-Wheels of White Plains please click this link: Referral Form for Agency Use to download the form. If your potential client needs financial assistance with our fee for service please download and complete the form found at this link: Client Financial Information Form. This form MUST be submitted and on file for you the client to be considered for sliding scale reduction in the fee-for-service

*Agencies: Please verify your client’s address before making a referral. We do not provide service outside of the city limits and do NOT serve any other city, town, or village in Westchester County.

To find programs outside of White Plains please go to our Links page.

To ask #MOWWP a question please use the form below.

Please help us to feed our neighbors in need all year long, please be a “Friend of Meals on Wheels of White Plains” by making a monthly tax deductible contribution in the amount of your choice with your credit card. Click on Be A Friend above to join up online