Clothing Bank Request Form

Clothing Bank Request Form 2026

Please complete the following form and submit to the Clothing Bank Drop Box at the Southside Family Center, 35 Groton St., Hartford, CT

Please contact Ivelisse Acevedo at 860-655-0895/iacevedo@ccaoh.org or Luis Santiago at 860-698-5672/lsantiago@ccaoh.org.

SIZE AND GENDER

Household Member #1

Household Member #2

Household Member #3

Household Member #4

Household Member #5

Household Member #6