Making A House A Home Referral Form

If you have any questions, please contact our Furniture Program Coordinator at 860-808-0336.









A family member, friend or neighbor whom we will be able to reach if client's phone is lost/stolen/out of minutes.
















Rent a van/truck, have a friend with a van/truck, or does the agency have a van/truck/or funding to use for client assistance.






















one per person


one per person






one per person






















*Limited quantity received – may not be available at time of delivery.


*Limited quantity received – may not be available at time of delivery.


*Limited quantity received – may not be available at time of delivery.


*Limited quantity received – may not be available at time of delivery.


*Limited quantity received – may not be available at time of delivery.










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