Lifeline Application Form

Please complete the online form below to apply for an Lifeline alarm to be installed in your home. 

Please note that the fields marked with a * are mandatory.

Lifeline Application

Your Details

Your Address

Is Another Person Living With You?

Any questions?

If you have any questions about Alfi, please do email us on, write to us at Lifeline and Assisted Living, BT New Tech Building, Threemilestone Industrial Estate, Truro TR4 9LD or call us during business hours on 0300 7900 603.

Data protection

The information you provide on this form will be used to provide you with the goods and/or services you have requested and to enable the application to be processed

We will only use this information in conjunction with the nature of your enquiry.  Your data will be held within Cornwall Council’s secure network and premises and will not be processed outside of the UK. Access to your information will only be made to authorised members of staff who are required to process it for the purposes outlined in this privacy notice.

If your purchase included VAT relief your information will be kept for 7 years after the completion of the purchase/service, otherwise your information will be kept securely for 3 years or until you request its deletion.

Read our full privacy policy

Need help?

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