Homepage Fill Out Your Goodwill Clothing Voucher Form
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The Goodwill Clothing Voucher form serves as a crucial resource for individuals in need of clothing and other essential items. Designed for those who require immediate assistance, this form is part of Goodwill's Community Assistance Program. Candidates must be at least 18 years of age and can apply through a referral agent who submits the completed form via fax. Key identification details such as the candidate’s name, date of birth, and current address must be accurately filled out, along with information about household members. A summary explaining the need for assistance and a list of required items like clothing or furniture are also essential components of the application. Additionally, the selected Goodwill store location must be specified, and agencies providing referrals will need to submit proof of their tax-exempt status. Goodwill ensures thorough processing by maintaining guidelines that limit the number of applications per agency per month and define eligibility criteria for continued assistance. Each approved candidate's voucher will expire 60 days after processing, and essential verification processes are in place to ensure that the assistance reaches those who genuinely need it.

Goodwill Clothing Voucher Example

Community Assistance Program

For questions contact Bill Jansen at:

bill.jansen@goodwillsew.com

Referral Agent to complete and fax this application to:

(414) 448-1182

Page 1 of 2

revised 7-21-16

(Please print clearly)

Name of Candidate: _________________________________________ Date of Birth: ________________

Candidate Address: ________________________________________________

City, State and Zip: ________________________________________________

Primary Phone: (_________) ________________________________________

Members of candidate’s household:

Name: ______________________________ Relationship: _____________

Date of Birth: ______________

Name: ______________________________ Relationship: _____________

Date of Birth: ______________

Name: ______________________________ Relationship: _____________

Date of Birth: ______________

Name: ______________________________ Relationship: _____________

Date of Birth: ______________

Verification

Candidate must be 18 years or older. Goodwill requests a copy of your agency’s 501(c)(3) tax exempt form for our files. If your agency is taxable, we request a copy of your informational pamphlet. We reserve the right to refuse applications from any agency that does not provide us with appropriate verification. Also see the guidelines on the bottom of page 2.

Choose the preferred Goodwill store for shopping (from below):___________________

Wisconsin: Bay View • Beaver Dam Brookfield • Brown Deer Delavan Fond du Lac Franklin • Grafton • Janesville Kenosha Menomonee Falls Milwaukee-East#1on Palmer Street Milwaukee-East#2 on Oakland Avenue Milwaukee-North on 91st Street Mount Pleasant/Racine New Berlin Oak Creek Oconomowoc Pewaukee Sheboygan Waukesha Wauwatosa West Allis West Bend

Illinois: Addison Arlington Heights-North on Dryden Ave Arlington Heights-South on Algonquin Rd Aurora Bartlett Batavia

Bloomingdale Bolingbrook Carol Stream Carpentersville Chicago (West Loop) Des Plaines Downers Grove Elmhurst Frankfort Glendale Heights • Hoffman Estates • Joliet • Lake Zurich • Lemont • Lombard • Montgomery Mundelein Naperville New Lenox Northbrook North Riverside Orland Park • Palatine on Rand Road Plainfield • Romeoville • Round Lake Beach Saint Charles South Elgin Skokie coming in October 2016 • Westchester • Willowbrook Woodridge Yorkville

Page 2 of 2

Please write a summary of why this candidate needs assistance from Goodwill:

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Items needed: Clothing______

Furniture______

Housewares______

Referral (please print clearly)

Referral Contact Name: __________________________________________________________________

Referral Agency: ________________________________________________________________________

Street Address: ________________________________________________________________________

City, State and Zip: _____________________________________________________________________

Work Phone: (________) ______________________Cell Phone (optional): (________) _______________

*Referral Contact

E-Mail address: _______________________________________________________________________

*please note: Referral Contact will be notified by e-mail the dollar value of the voucher within ten days from the date this application is received. If you have not heard from Goodwill after a two week time frame, please contact Bill Jansen by email.

Applications are processed based on availability of funding

Guidelines (revised 7-21-16):

Only two (2) applications per agency per month will be considered, due to budget limitations.

This electronic voucher program is intended to assist candidates with an immediate need. If the need persists, the approved candidate may become eligible again to receive a voucher six months later.

Goodwill does not provide assistance with major appliances, baby cribs, car seats, nor any monetary assistance such as rent, mortgage, utilities, or food. Mattresses and box springs are seldom available.

Approved candidates will need to arrange for pick-up of all items selected at the Goodwill store.

Applications are processed in the order that they are received via fax beginning the 1st of each month.

Employees from any referring agency are not eligible to participate in this assistance program.

Before shopping can begin at the Goodwill store, each approved candidate will need to show to a store supervisor a state-issued ID with name and birth date to match against the electronic voucher.

Vouchers are held electronically in the stores for 60 days, after which time they expire.

Form Characteristics

Fact Name Description
Eligibility Criteria Applicants must be at least 18 years old to qualify for the Goodwill Clothing Voucher program.
Application Processing Method Applications are processed via fax and prioritized based on the order of receipt starting from the 1st of each month.
Maximum Applications Only two applications per referral agency will be considered each month due to budget constraints.
Verification Requirements Agencies must provide either a 501(c)(3) tax exempt form or an informational pamphlet for eligibility verification.

Guidelines on Utilizing Goodwill Clothing Voucher

To obtain assistance through the Goodwill Clothing Voucher program, candidates must complete the required form accurately. After submitting the application, the referral contact will be notified via email about the dollar value of the voucher within ten days. It is crucial to follow the instructions carefully to ensure prompt processing and avoid any delays.

  1. Complete the Candidate Information: Write the candidate's full name and date of birth in the designated fields. Be sure to print clearly.
  2. Provide the Candidate's Address: Fill in the complete address, including city, state, and zip code.
  3. Enter the Primary Phone Number: Include the candidate’s primary contact number, making sure to include the area code.
  4. List Household Members: For each household member, enter their name, relationship to the candidate, and date of birth in the provided section. There is space for up to four members.
  5. Verification Information: Ensure the candidate meets the age requirement of 18 years or older. Attach the agency’s 501(c)(3) tax-exempt form or, if taxable, an informational pamphlet for verification.
  6. Select a Preferred Goodwill Store: Choose a Goodwill store location from the list provided in the form.
  7. Summarize the Reason for Assistance: Write a brief summary explaining why the candidate needs assistance from Goodwill in the designated area.
  8. Identify Needed Items: Indicate the items needed by checking the appropriate boxes for clothing, furniture, and/or housewares.
  9. Fill Out Referral Information: Provide the referral contact’s name and agency. Include their address and contact numbers, ensuring clarity.
  10. Provide Email Information: Enter the referral contact’s email address for notifications regarding the voucher’s dollar value.
  11. Submit the Application: After reviewing the completed form for accuracy, fax it to the provided number: (414) 448-1182.

What You Should Know About This Form

What is the Goodwill Clothing Voucher form used for?

The Goodwill Clothing Voucher form is designed to assist individuals in need of clothing, furniture, and housewares. By completing this form, candidates can request vouchers that allow them to shop at designated Goodwill stores. The program aims to support those facing immediate challenges, helping them meet essential needs through accessible resources.

Who is eligible to apply for a Goodwill clothing voucher?

Candidates must be at least 18 years old to qualify for assistance. Additionally, it's important that applications are submitted through an agency with the proper verification, such as a 501(c)(3) tax-exempt form. This ensures that Goodwill can meet federal guidelines and provide support to those who truly need it.

How many applications can an agency submit each month?

Due to budget constraints, each agency is limited to submitting two applications per month. This policy helps ensure that resources are fairly distributed among various agencies and the individuals they serve. If a candidate's need persists, they may reapply six months after their last voucher was issued.

What items can be requested with the voucher?

The voucher primarily covers clothing, furniture, and housewares. However, it's important to note that some items are excluded. Major appliances, baby cribs, car seats, and monetary assistance for rent, utilities, or food are not available through this program. Additionally, mattresses and box springs are rarely offered.

How will I be notified about the voucher's value?

Once the application is processed, the referral contact provided in the form will receive an email detailing the dollar value of the voucher. This notification typically occurs within ten days after the application is received. If there is no communication within two weeks, it's advisable to reach out to Bill Jansen at Goodwill for an update.

How long are the vouchers valid?

After approval, vouchers are stored electronically at the Goodwill locations for a period of 60 days. If the approved candidate does not utilize the voucher within this timeframe, it will expire. To shop at a Goodwill store, candidates must present a state-issued ID matching the name and date of birth provided on the voucher.

Common mistakes

Filling out the Goodwill Clothing Voucher form can seem straightforward, but there are common mistakes that applicants often make that may delay assistance. First, many people forget to fill in all the required fields completely. For instance, the section asking for the candidate's name, address, date of birth, and contact information is crucial. Missing any of these details can lead to confusion and potential rejection of the application.

Another frequent error is not providing accurate information about household members. Each member’s name, relationship to the candidate, and date of birth must be clearly printed. Omitting a family member or providing incorrect details can misrepresent the candidate’s situation, ultimately impacting the level of assistance received.

In addition, applicants often overlook the importance of including a valid email address for the referral contact. This address is where Goodwill will send the dollar value of the voucher. If the referral contact is not reachable due to an incorrect email, valuable information gets lost, which can prolong the assistance process.

Furthermore, some applicants neglect to write a clear and concise summary explaining why they need assistance. This statement provides context for Goodwill’s decision-makers, helping them understand the urgency and nature of the candidate’s needs. A vague or incomplete summary may lead to further questions or delays in processing the application.

Finally, applicants sometimes fail to check the guidelines and ensure that they comply with the application limits. Each agency can submit only two applications per month. Overlooking this may result in the application being disregarded, wasting time for both the candidate and Goodwill staff. Keeping these common pitfalls in mind can aid in submitting a complete and accurate application, expediting the process of receiving much-needed assistance.

Documents used along the form

Along with the Goodwill Clothing Voucher form, several other forms and documents are commonly used to facilitate the assistance process. Each document serves a specific purpose, ensuring that the needs of the candidates are met appropriately and efficiently. Below is a list of these essential documents.

  • Verification of Eligibility Form: This document confirms that a candidate meets the specific requirements for assistance, such as age and residency. It is vital for maintaining program integrity.
  • 501(c)(3) Tax Exempt Form: Required from nonprofit agencies, this form proves their tax-exempt status to ensure that organizations applying for vouchers are legitimate.
  • Referral Agency Contact Form: This form includes contact details for the referral agency representative. It assists in communication and follow-up regarding the voucher application.
  • Candidate Needs Assessment: By filling out this form, candidates specify their immediate needs, such as clothing, furniture, or housewares, helping agencies prioritize assistance.
  • Voucher Acknowledgment Receipt: Candidates sign this document to acknowledge that they have received information about their voucher value and understand the program’s guidelines.
  • Feedback Form: This optional document allows candidates to provide feedback on their experience with the program, helping improve services in the future.

Each of these forms plays a critical role in ensuring that the application process runs smoothly and transparently. Timely submission of all required documents is crucial to avoid delays in receiving assistance.

Similar forms

The Goodwill Clothing Voucher form shares similarities with several other documents designed to assist individuals in need. Below is a list highlighting these similar documents and their connections to the Goodwill Clothing Voucher form.

  • Food Pantry Application: This form collects personal details from individuals seeking food assistance. Like the Goodwill Voucher, it requires verification of identity and household members, along with a brief summary of the need for assistance.
  • Rental Assistance Application: This document is used by individuals needing help with housing costs. Similar to the Goodwill Clothing Voucher, it requests the applicant's personal information, financial details, and specific justification for assistance.
  • Utility Assistance Form: Individuals seeking help with utility bills complete this form. Both this and the Goodwill Clothing Voucher require the applicant to provide information about their living situation and confirm the need for aid.
  • Temporary Shelter Intake Form: This form gathers necessary information from those needing emergency shelter. It also parallels the Goodwill form by assessing the applicant's situation and household dynamics.
  • Health Care Assistance Application: Individuals applying for medical aid must use this form, which requires personal details and a statement about their medical needs. The structure is similar to the Goodwill Clothing Voucher in terms of collecting basic information and need assessment.
  • Child Care Subsidy Application: This application enables families to seek financial assistance for child care. It shares similarities with the Goodwill Voucher by focusing on household information and the justification of need for support.
  • Clothing Bank Application: Similar to the Goodwill Clothing Voucher, this form allows individuals to request clothing assistance. It requires personal details, household information, and specifics on the type of clothing needed.
  • Emergency Assistance Program Application: This form is for those in crisis situations needing urgent financial support. Like the Goodwill voucher, it collects information on the applicant’s identity, household, and need for immediate assistance.

Dos and Don'ts

  • Do: Print clearly when filling out the Goodwill Clothing Voucher form to ensure all information is legible.
  • Do: Provide accurate contact information, including a valid email address for the referral contact.
  • Do: Specify the items needed, such as clothing, furniture, or housewares, to facilitate appropriate assistance.
  • Do: Ensure that the candidate meets the eligibility requirement of being 18 years or older.
  • Don't: Submit the application without the required verification documents, as it may lead to refusal of the application.
  • Don't: Exceed the limit of two applications per agency per month, as only two will be considered due to budget constraints.
  • Don't: Assume eligibility if prior assistance was received within six months; this may restrict reapplication.
  • Don't: Expect assistance for major appliances, baby furniture, or monetary support, as these are not covered by the program.

Misconceptions

Misconceptions about the Goodwill Clothing Voucher form can lead to confusion and prevent individuals from accessing needed assistance. Here are seven common misunderstandings:

  • One voucher per individual is allowed. Many believe they can receive multiple vouchers. In reality, the program limits candidates to one voucher every six months if their need persists.
  • All household members can receive assistance. Some think that if one family member qualifies, others can too. However, the program only addresses the needs of the approved candidate.
  • Any type of clothing can be purchased. Misunderstanding exists around what items are covered. The voucher specifically does not include major appliances, such as refrigerators or microwaves, and certain baby items.
  • Applications can be sent at any time. Many applicants mistakenly assume applications are continuously accepted. Applications must be submitted at the beginning of each month and are processed based on availability.
  • Verification documents are optional. Some might think that providing the required tax-exempt form is not mandatory. In fact, Goodwill insists on proper verification to process the voucher.
  • Even expired vouchers can be used. It’s a common myth that vouchers can be reused. After 60 days, the vouchers expire, and new applications must be submitted.
  • There is no restriction on agency applications. Some individuals assume any agency can apply for an unlimited number of clients. Goodwill limits each agency to two applications per month due to budget constraints.

Understanding these details can help ensure a smoother application process and a greater chance of receiving assistance. Make sure to read the guidelines carefully and follow the application instructions closely.

Key takeaways

Key Takeaways for Filling Out and Using the Goodwill Clothing Voucher Form:

  1. The applicant must be at least 18 years old. A copy of the referring agency's 501(c)(3) tax-exempt form is required for verification.
  2. Only two applications from any agency will be considered each month due to budget constraints, and vouchers may be reissued after six months if needs persist.
  3. Approved candidates must arrange for the pickup of items selected at the chosen Goodwill store. Each candidate must show a state-issued ID that matches the electronic voucher before shopping.
  4. Vouchers are valid for 60 days and expire if not used within this time frame. It is important to contact Bill Jansen for any follow-up after two weeks if no notification has been received.