Referrals for recipient families come through our Sheriff's Service Centers, Sheriff's deputies, detectives, probation officers, social service agencies, child protective services, schools and other non-profit organizations.  If you need help or know someone who does, please let us know.

Service Request Form * indicates a required field
  1. What service is this request for?
    *

  2. Please enter a brief one-line description of the request:
    *
    (example: "Need bike for boy")

  3. What is the particular need you are reporting, please describe it clearly:


  4. Please provide us with the following information in case we need to contact you:

Name: *

E-mail: *

Phone:

Notice: Your contact information must be valid for us to process your request. Your IP address is recorded as part of this request.