Request To Become A Service Provider

Life Line App

*Please fill in the below form and upload a signed, completed SLA.
If your request was successful, you will be contacted within the next couple of days.

*If the file is too large, please email the completed SLA -or- the WeTransfer Link to admin@lifelineapp.co.za.

Service Delivery Type

Download Service Provider SLA form Download, complete and sign the SLA form, then upload the completed form using the 'Choose Files' button.No Files ChosenAccepted file types: jpg, jpeg, jpe, png, pdf, zip, rar, 7z. Max. file size: 15 MB