Forms & Applications

Access the documents required for assistance and referrals.

Client & Agency Documents

Client Referral Form

To be completed by a referring agency or church. Picture ID is required for the client.

IMPORTANT:
  • Hand-deliver this form only. DO NOT fax or mail it to our office.
  • Clients are required to submit the referral form in person.
  • Picture ID is required at the time of submission.
  • There can only be one Community Circle Application per household once in a 1-year period.
Download Client Referral Form

Community Circle Application

Use this form to request furniture and appliances. Your address must match your current photo ID.

Note: All items are provided "as-is." Reported non-working appliances within 7 days for potential replacement.

Download Community Circle Application

Client Policy Form

Detailed rules regarding item holds, communication attempts, and the banned list policy.

Download Client Policy Form

Program Rules & Expectations

2-Week Hold Rule

Once notified, you have 14 days to pick up items or you will be removed from the waiting list.

2-Call Limit

We call twice. If we cannot reach you within 2 weeks of the last attempt, your case is closed.

Banned List Policy

Selling donated items or disrespectful behavior toward staff results in a permanent ban.