Apply for a Giving Pallet

There are no wrong answers here. We just want to know your heart and your story. Every application is read by a real person with care and compassion.

๐Ÿ“‹ Before you begin: Have one verification document ready to upload (IEP, SSI letter, EBT card, doctor's letter, tax return, or self-declaration). Applications are reviewed within 5โ€“7 business days.
1
Your Info
2
Your Family
3
Your Story
4
Documents
5
Review

Let's Start with You

Basic contact information so we can reach you about your application.

Tell Us About Your Family

Help us understand your household and caregiving situation.

You are not required to share this โ€” only if comfortable and applicable.

Your Story Matters

This is the most important part of your application. Please take your time. There are no wrong answers โ€” we just want to hear your heart.

0 / 1000
0 / 1000
0 / 1000
0 / 1000

Verification Documents

Please upload at least one document to verify your eligibility. You only need ONE โ€” choose whichever is easiest for you to access.

Accepted Documents โ€” Choose Any One:

๐Ÿ“‹ IEP (Individualized Education Program)
๐Ÿฅ Letter from pediatrician, neurologist, or therapist
๐Ÿ’ฐ SSI/SSDI award letter for your child
๐Ÿข Regional Center enrollment letter
๐Ÿ›’ EBT/CalFresh card or approval letter
๐Ÿฅ Medi-Cal / Medicaid card
๐Ÿ“„ Most recent tax return (page 1 only)
โœ๏ธ Signed self-declaration letter
๐Ÿ“

Click to upload or drag & drop

PDF, JPG, PNG, DOC โ€” up to 10MB each

Don't have a document right now?

You can write a brief self-declaration below instead. By checking the box, you attest that the information you've shared is true to the best of your knowledge.

๐Ÿ”’ Your privacy is protected. All documents are stored securely and confidentially. Your personal information and documentation will never be shared publicly or with third parties.

Review & Submit

Please review your information before submitting. Your application will be reviewed within 5โ€“7 business days.