Diaper Club Application

Thank you for your interest in the Diaper Club program provided by the Daly City Community Service Center in partnership with Help a Mother Out. Please have all basic household and family information ready, such as names, dates of birth, address, phone numbers and income. Please also be prepared to upload:

  1. Proof of Residence in Daly City, Colma or Broadmoor (PGE/Water Bills, Lease Agreement, Mail, etc.)
  2. Proof of income for ALL Adults in the household (Pay stub, Personal statement of cash income, etc.)
  3. ID documents for the child(ren) (Birth Certificate, Hospital Record, Medical ID, etc.)

Gracias por su interรฉs en el programa Diaper Club proporcionado por el Centro de Servicio Comunitario de Daly City en asociaciรณn con Help a Mother Out. Tenga a mano toda la informaciรณn bรกsica del hogar y la familia, como nombres, fechas de nacimiento, direcciรณn, nรบmeros de telรฉfono e ingresos. Tambiรฉn estรฉ preparado para cargar:

  1. Comprobante de residencia en Daly City, Colma o Broadmoor (Facturas de PGE/agua, contrato de arrendamiento, correo, etc.)
  2. Comprobante de ingresos para TODOS los adultos en el hogar (Talรณn de pago, declaraciรณn personal de ingresos en efectivo, etc.)
  3. Documentos de identificaciรณn del niรฑo(s) (certificado de nacimiento, registro del hospital, identificaciรณn mรฉdica, etc.)