R&P Program Home Supply List - Sign Up and Reserve Quantities Case # or Name:(Required)List Completed by(Required)Address:(Required)Temporary (T) or Permanent (P) Housing:(Required)FurnitureMattress and box spring (only married couples or small children of same gender may be expected to share beds)Please enter a number greater than or equal to 0.Bed framePlease enter a number greater than or equal to 0.One set of drawers, shelves or other unit appropriate for storage of clothing per familyPlease enter a number greater than or equal to 0.One couch or equivalent seating per family (in addition to kitchen chairs)Please enter a number greater than or equal to 0.Kitchen table (per case) and chair (per person)Please enter a number greater than or equal to 0.Kitchen ItemsOne place setting of tableware (fork, knife, spoon) per personPlease enter a number greater than or equal to 0.Pots and pans: at least one sauce pan, frying pan, and baking dishPlease enter a number greater than or equal to 0.Mixing/serving bowlsPlease enter a number greater than or equal to 0.One set of kitchen utensils (such as a spatula, wooden spoon, knife, serving utensils, etc.)Please enter a number greater than or equal to 0.One bath towel per person Toilet paper (list number of rolls)Please enter a number greater than or equal to 0.Linens and Other Household SuppliesOne bath towel per personPlease enter a number greater than or equal to 0.Blanket(s) for each bed as seasonally appropriatePlease enter a number greater than or equal to 0.One pillow and pillowcase for each personPlease enter a number greater than or equal to 0.Alarm clock (cell phone alarm meets requirement)Please enter a number greater than or equal to 0.Paper, pens, and/or pencils (one set per case recommended)Please enter a number greater than or equal to 0.Toiletries (new)Toilet paper (list number of rolls)Please enter a number greater than or equal to 0.ShampooPlease enter a number greater than or equal to 0.SoapPlease enter a number greater than or equal to 0.One toothbrush per personPlease enter a number greater than or equal to 0.ToothpastePlease enter a number greater than or equal to 0.Personal hygiene items (such as deodorant, feminine hygiene products, and razors)Please enter a number greater than or equal to 0.Cleaning SuppliesDish soapPlease enter a number greater than or equal to 0.Bathroom/kitchen cleanserPlease enter a number greater than or equal to 0.Laundry detergentPlease enter a number greater than or equal to 0.Sponges or cleaning rags and/or paper towelsPlease enter a number greater than or equal to 0.Two waste basketsPlease enter a number greater than or equal to 0.Trash bags (list number of boxes)Please enter a number greater than or equal to 0.Mop or broomPlease enter a number greater than or equal to 0.Other Items and FoodAppropriate seasonal clothing for work, school and everyday use:Clean clothing, in good condition, for all members of the family (including proper footwear)Baby items, as needed:Baby food, clothing, diapers, car seats, and cribsFood available on arrival:Culturally appropriate, ready-to-eat food, plus one day’s worth of additional food supplies and staples (including baby food, as needed)Food within one day of arrival:Food or food allowance at least equivalent to the food stamp allocation for that family unit and continued food assistance until receipt of food stamps or until individual/ family is able to provide food for themselvesAdditional items appropriate to family size and composition:For example, large families should receive enough cookware to prepare a meal for all individuals; additional plates and utensils may be appropriate for a single individual. Δ
