Change of Responsibility Form
For partner agencies working with Indiana Diaper Bank, it is critical that our partner agencies have at least one or two people who are familiar with the partnership, know how to keep up to date with program changes, and feel comfortable ordering and picking up from us.

If this responsibility is changing hands for any reason, or if you would like to add additional staff or volunteers who are involved, please complete this form to let us know. We will then be able to make the appropriate updates to your accounts.

Indiana Diaper Bank understands that roles change, but many times find out when emails get bounced back to our email accounts. Please either have the employee changing positions fill this out, or have another employee fill out by the 15th of the month prior to the next month requests so we can make sure everything is in place.

With any questions or concerns, please email: ashley@indianadiaperbank.org
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Name* *
Email* *
Address* *
Phone* *
Would You Like Additional Training? *
Do We Need to Add the New Contact to Human Essentials? *
If no above, write "N/A". If Yes above, what is the information of the individual? Name, Email, Address Phone: 
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