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R&P Program Home Supply List

Affiliates must ensure that all home supply items and food and/or food allowance are provided upon arrival. When completing this form, list the specific quantities provided; check marks or “enough” are not acceptable responses. The form must be completed prior to arrival for all temporary and permanent housing and for all housing lived during the R&P period to include U.S. tie homes.

Furniture

Please enter a number greater than or equal to 0.
Donated: 6.00
Please enter a number greater than or equal to 0.
Donated: 3.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00

Kitchen Items

Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00

Linens and Other Household Supplies

Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 45,221,017,240.00

Toiletries (new)

Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00

Cleaning Supplies

Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00
Please enter a number greater than or equal to 0.
Donated: 0.00

Other Items and Food

Clean clothing, in good condition, for all members of the family (including proper footwear)
Baby food, clothing, diapers, car seats, and cribs
Culturally appropriate, ready-to-eat food, plus one day’s worth of additional food supplies and staples (including baby food, as needed)
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 themselves
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.
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