Diaper Bank Request Form
Referral Organizations
CCO is committed to making this process as seamless and convenient as possible for those in need of diaper bank support and is happy to work with other organizations to help support their clients in need of our resources.
- REFERRAL ORGANIZATION: If you are a representative for an organization on our list of referral organizations, and would like to make a request on behalf of a client, you can do so using the form below. (NOTE: If you need to request a bulk order for multiple families, please email us to discuss.)
- If you would like your organization to be added as a referral organization (this means clients you refer will not need to provide additional paperwork to confirm eligibility), please email us HERE to get the process started.
- If you would like to direct clients to our diaper bank, where they can individually request support, please direct them to the NEW CLIENT page, where they will be asked to provide the name of the agency referring them, the name of the individual at the agency, and a contact email address for you.
Referral Organizations
The following organizations are vetted organizations that may refer a client for assistance. Through this process, clients are pre-approved and eligible by nature of their association with the organization, and will not need to provide additional paperwork.
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Conejo Valley Unified School District (CVUSD)
Friends of Fieldworkers, Inc. County of Ventura (Ventura County Public Health) Safe Passage Youth Foundation CASA |
First Five
Ventura County Children and Family Services Harbor House Adelante Comunidad Conejo Amigo Baby |