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Check your Eligibility

If you’re a low-income individual, family, newcomer, a student, a refugee, someone recently displaced due to a natural disaster, or someone in need, fill out this quick form to request free furniture.
After submission, you’ll receive an email with next steps, including eligibility details and required documents.

Check your Eligibility

"*" indicates required fields

Personal Information

Name*
DD slash MM slash YYYY

Address 

Address*

Household Information 

Are there any children under 19 in your household?*
Are there any senior citizens (65+) or individuals with disabilities in your household?*

Assistance Request 

Consent and Declaration 

Accuracy of Information*
Verification Permission*
Use of Information*
Conditions of Assistance*
Commitment to Use Assistance as Intended*
Right to Refuse Service *
MM slash DD slash YYYY
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