Diaper Assistance Request
Thank you for taking the time to request diaper assistance. By submitting an application for diaper assistance, the below named person understands that:

~ Diapers for Delmarva processes applications ONCE PER WEEK. You will receive a message via your preferred method of
contact within 7 calendar days of your application, to begin the application process.

~ Cloth diaper loans are provided for the life of the term of need. You may keep your cloth diaper loan for as long as your baby fits in the diapers given, through potty learning, once you have successfully built your own stash, etc. Once your need is fulfilled, diaper loans should be transferred back to Diapers for Delmarva for processing and handling, so that we may help another family in need.

~ Once your application has been processed by our team, your diapers will arrive within 14 calendar days. We will be in contact via messages and/or email in order to process your application, send you shipping or delivery confirmation, inventory lists, etc. **PLEASE check your messages on your listed preferred contact method (email, Facebook, etc.).

~ Should you need any further information about cloth diapering, you may copy and paste any of the following links:

Thank you for your time and we look forward to supporting your family!

Email address *
I agree to the terms and conditions above *
Full legal name - Applicant *
Mailing Address *
Phone number *
Child Name and Age *
Child Gender *
Child Weight *
Other assistance programs you currently receive (check all that apply) *
Ethnicity *
Date of application *
Preferred method of contact *
Do you have any cloth diaper experience? *
Agency Referral Source *
Inventory list (for D4D use ONLY)
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