Contact Us

Telephone: 914-946-6878

Scroll down for a form to email us at and/or send by fax to 914-946-2069. We recommend sending by both methods if you can because technology is not as perfect and your referral is too important.

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.

If you are from a referral agency – please scroll down the page to download your form. It is different.

If you need assistance with our fee-for-service please download, complete and return a Financial Information Form (for use by Clients) so that we may compute a sliding scale for you based on income and expenses. A form MUST be submitted and on file in order to receive a sliding scale reduction in the fee-for-service.

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

If you are from an agency (ex. – Social Worker, Discharge Planner, Physical Therapist, Doctor, etc.) looking to make a referral 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 this the form found at this link: Client Financial Information Form for Agency Use.

To Receive Meals-on-Wheels download and return the appropriate Referral Form above, please do NOT use the form below.

To ask a question or to leave us a message (OTHER THAN A REFERRAL) please use the form below. Please be short but specific in your subject line or our SPAM filter will block your message.

To write us a letter or mail us one of the above forms, our address is:

311 North Street, Suite G5, White Plains, NY 10605

Follow our LinkedIn “Company Page”

Like us on Facebook

Be A Friend of Meals-on-Wheels Button

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.