Diaper Bank Request Form
RETURNING CLIENT FORM
- 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. Please do NOT fill out the form below.
- 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.
As of January 2023, we have a new policy in place for diaper orders.
Diaper ordering timeframe begins the last day of the previous month, through the 25th day of each month.
We will not accept late orders. We appreciate your understanding.
Diaper ordering timeframe begins the last day of the previous month, through the 25th day of each month.
We will not accept late orders. We appreciate your understanding.
Ordering for each month now 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: Jan. 2- January 25 |
AUGUST ORDER FORM NOW OPEN.
The August order form for returning clients will be available from July 31 to Aug. 25.