Blanket/Kit Request Form
Important Reporting: Submission of your ‘CWS End-Users Report and Impact Report’ for prior fulfillments is required. If you have received materials (blankets, kits, and/or buckets) and have not submitted your reports, please do so prior to completing this form to:

Requesting Agency Information



Please provide the following information for the best point-of-contact within the agency:

If you marked "no", please provide on-site contact information. 

If the requesting agency does not have 501(c)(3) status, it is necessary to have another IRS tax exempt agency assume responsibility for the materials. Please fill out the information below for the 501(c)(3) agency assuming responsibility.

Items Description:

(Buckets are for current year natural or human-made disaster/emergency response only. *Please email for exceptions.)

1) Please detail the exact disaster/emergency you are responding to.
2) Please detail how CWS Blankets and/or Kits will aid in the response.

Number of Kits, Buckets and/or Blankets requested (please use the individual item amount)

Kits/Blankets are free of charge thanks to the generosity of donors and organizations. If, however, you would like to make a donation to help support this program, you can do so through our CWS Kits donation page or our CWS Blankets donation page. Thank you!


CWS materials will be delivered within 5 to 15 business days of approval of the request. The delivery will be made by motor freight, with details communicated to your agency in advance of shipping. Please fill out the details below so that we can ensure the smoothest delivery process possible:

NOTE: Your request will not be processed unless the applicant agency can provide the means (volunteers/staff) to assist with unloading boxes.



CWS requires a final report on the use of material resources. This report will include two stories with accompanying photos, documenting and detailing the impact of the resources on individuals and the community. In submitting this request, your agency agrees to complete and return the CWS Impact Report within four weeks of receipt. Please contact CWS if there will be a delay in completing the report. (Important: future fulfillment requests may be delayed pending report receipt.)