Community Warehouse Delivery Referral
Thank you for requesting a delivery from Community Warehouse. In response to COVID-19, Community Warehouse is suspending all in person visits to the warehouses and only providing delivery service until further notice. We will be requiring the following procedures for all deliveries. Please read the protocols and discuss them with your client before the time of the appointment. Each furniture delivery is $400.
**CURRENT WAIT TIME FOR DELIVERY IS APPROXIMATELY 2 to 4 WEEKS**

-Please fill out the fields below and Community Warehouse will contact clients directly to confirm furniture list and to arrange the delivery time. We will send you a confirmation and invoice when service is delivered.

-Community Warehouse staff will select the furniture and household items according to the list provided by your client. Sometimes selection is limited and not all desired items requested can be fulfilled. If the Warehouse does not have enough inventory the staff will notify the case manager at least 24 hours in advance

-All furniture will be delivered by Community Warehouse staff to the living room or first room upon entrance. Client is responsible for clearing the space before the Community Warehouse team arrives.

- Clients and all adult family members or friends must remain outside of residence, wear masks, and maintain a social distance of 6 feet from CW staff during the total length of the delivery. If the client must remain inside the residence due to physical limitations they must follow the same mask and social distance protocols.

- Case Manager will make necessary arrangements with building managers if access to elevator or service entrance is required to perform delivery

- The total fee for service is $400. We will send you an invoice via email and arrange for payment by credit card or check.

- If protocols are not followed, Community Warehouse reserves the right to suspend the delivery. One rescheduled appointment will be offered.



Case Manager Name *
Case Manager Email *
Case Manager Phone *
Client Name *
Client Phone *
Client Street Address *
Delivery ZIP CODE *
Number of People in Household *
Do you know the most needed furniture items? Please check all the apply.
Are there stairs? If yes, how many flights? *
Is there an elevator *
Any notes regarding payment, building access, client needs, etc.?
Race & Ethnicity (please select all that apply):
By checking the box below, you agree to the Community Warehouse Delivery Terms of Service listed at the top of this form. *
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