Diaper Bank Request Form

RETURNING CLIENT FORM

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• RETURNING CLIENT: If you have received assistance from the diaper bank before, you are on the correct page.  
  

​A form is required each month you are in need of assistance. Please scroll down to the returning client form below.

• FIRST-TIME: CLIENT: If this is your  first time requesting assistance from our diaper bank — please go to our NEW CLIENT page. ​​
• ​ORGANIZATION REPRESENTATIVE: If you are a representative from an organizations, and wish to make a request on behalf of a client(s), please visit the ORGANIZATION REFERRAL page. ​​

​For general information about our diaper bank and what to expect, please see our DIAPER BANK FAQ page.

PLEASE NOTE: Our diaper bank is located in Newbury Park, California, and clients will need to be able to pick up their diapers in Newbury Park or make arrangements for someone to pick up on their behalf.

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