General Diaper Need Order Form
The Junior League of Ocala Diaper Bank provides free diapers directly to Marion County residents in need. We regularly attend community events and are able to provide diapers to community partners for pick up at several locations. 

Please fill out this form and we will help get diapers to you. 

If you have any questions, please reach out to diaperbank@ocala.jl.org
Email *
First Name *
Last Name *
Are you a Marion County resident?  *
Which city do you live in?  *
Have you received diapers from the Junior League of Ocala Diaper Bank before?  *
How many children do you have?  *
Do you receive government benefits? Government benefits include programs like WIC, TANF, SNAP, Section 8 Housing Vouchers, SSI, Free or Reduced Lunch, etc. 

Please note: You do not need to be a government benefits recipient to receive free diapers from the Junior League of Ocala Diaper Bank. We collect this information for use in grant writing and to help us purchase diapers at a discounted rate. 
*
What size diapers do you need? (Select all that apply) *
Required
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