Diaper Bank Request Form

Referral Organizations
If you are an agency or organization representative looking to submit a request on behalf of a client ... you are in the right place!​
For general information about our diaper bank and what to expect, please see our DIAPER BANK FAQ page.
The following organizations are vetted organizations that may refer a client for assistance. Through this process, clients are considered pre-approved and eligible by nature of their association with the organization, and will not need to provide additional paperwork.
  • Conejo Valley Unified School District (CVUSD)
  • Friends of Fieldworkers, Inc.
  • County of Ventura (Ventura County Public Health) and related departments/programs
  • Safe Passage Youth Foundation
  • CASA
  • First Five
  • Ventura County Children and Family Services
  • Harbor House
  • ​Adelante Comunidad Conejo
  • Amigo Baby
  • ​​Interface
Ordering time frame for each month is as follows:
For February: Jan. 31-Feb. 25
For March: Feb. 28-March 25
For April: March 31-April 25
For May: April 30-May 25
For June: May 31-June 25
For July:  June 30-July 25
For August: July 31-Aug. 25
For September: Aug. 31-Sept. 25
For October: Sept. 30-Oct. 25
For November: Oct. 31-Nov. 22*
For December: Nov. 30-Dec. 20*
For January: Dec. 31- January 25
We are not accepting new clients to the diaper bank at this time. For our organization reps, please only submit order requests for current clients that have previously received support from the diaper bank. (We have a waitlist of 200+ families currently.) Thanks for your understanding. You may add your client's name to the WAIT LIST, here. 
NOVEMBER ORDER FORM NOW OPEN.
​The November order form will be open through Nov. 22.