Veteran's Furniture Request

Veteran's Furnishings Request

(Form rev Nov. 14, 2024) Please read before you fill out this form. All information is required to be filled out. If you need to make additions, corrections or changes YOU MUST FILL OUT A COMPLETELY NEW FORM AND WE WILL DELETE YOUR FIRST REQUEST. Our furniture request email address is veteran_request@sofasforservice.org. We serve veterans-in-need in Wisconsin and eastern Minnesota within about a 2-hour drive from our warehouse in Altoona, WI. We generally don't provide services outside of this area. At this time we have several veterans ahead of you with a backlog for deliveries. We will try to fill your request as soon as possible but it is possible that your request may take up to 2 weeks or longer to process. We are a volunteer run organization and have a large number of veterans-in-need requesting furniture and household goods. You can receive your items sooner if you are able to transport your items yourself by “shopping” at our Altoona, Wisconsin warehouse in person. The warehouse is staffed on Wednesday and Saturday mornings from 9:30 AM to 11:30 AM. If you want to shop at the warehouse you will need to set up an appointment.
Put your initials and date here to acknowledge that you have read the above statement (example SDM, 6/15/2024).*
Who is filling out the form? Put in "Myself" if the veteran is completing the form otherwise if someone is filling it out for the veteran then that person should put their name, relationship or agency and contact information here.*
Today’s date*

MonthDayYear
Veteran's move in date.*

MonthDayYear
Put today's date if you are already living there.
Veteran's Name (person asking for furniture/household goods)*

First NameLast Name
Veteran's Phone Number*
Veteran's phone is a*

Cell PhoneLandline Number
This is the veteran's email address who is requesting service - if someone is filling out this for the veteran then explain below in the explanations and/or additional information section. ***Important*** - our first contact with you will be by email; make sure you put in a VALID email address!*
Best way to contact Veteran is*

Text MessageEmailPhone Call
It might take 2 weeks or longer to fill your request, given the number of requests we receive and that we are a volunteer organization without office staff.

What is the ADDRESS the Veteran is MOVING TO? Be accurate, this is where we will deliver your household items to. (Please include "Street", "Boulevard", "Court", "Road", etc.)
Veteran's new ADDRESS MOVING TO*

Street Address

Apartment Number

CityState

Zip Code
COUNTY Moving To*
Have you the Veteran been served by Sofas For Service in the past? Veterans-in-need may only request and receive furniture and household goods from Sofas For Service, Inc. once in their lifetime. If you feel your situation justifies a second request then you must petition the Board of Directors via email office@sofasforservice.org or postal mail to PO Box 94, Altoona, WI 54720 with the explanation as to why you should have another service.*

YesNo
If your answer to the previous question was YES then put month and year served here, if NO put N/A. (see policy in above paragraph)*
Is the veteran:*

MaleFemale
How many adults in household?*
Children in household?*

NoneBoyGirl
Show number of boys and girls with ages. If none type NONE*
What is the Veteran's current home status?*

Living in a house/apartment for more than 6 months but moving into a different one.Living at the address above for more than 6 months, just need furniture and other items.Have been homeless for the past 4 months or more and found a house/apartment by myself or through a social service agency, veteran's assistance program or HUDVASH.Moving out of a Veterans Housing and Recovery Program (Klein Hall or similar).Moved out of a group home or shelter into my own place.Sharing a non-spousal house or apartment as I have not had my own house/apartment for the past 4 months or more.Moved into my current place within the past 4 months after being homeless or otherwise unhoused prior to moving.
If you checked "Other" please explain
If you checked "Other" please explain:
Veteran's branch of service (Choose one)*
Service Confirmation
We need proof of military service from the Veteran before we start on this request.
Current Address*

Street Address

Apartment Number / Street Address Line 2

CityState

Zip Code
Current Address*

Street Address

Apartment Number / Street Address Line 2

CityState

Zip Code
Referral source (for example: VA, County Veteran Service office, etc.); if self-referred put in "Myself" and skip next two items.*
Referral source contact name
Referral source phone number
Name someone we can contact if we can’t get in contact with you?
Contact person's phone number.
Are you, the veteran, physically able to help move furniture?*

YesNo
You will need at least two people (include yourself if able) to help unload items once we arrive at your delivery address - our drivers' tasks is to deliver and not load/unload. We will call you on your delivery day and verify you have at least 2 people (include yourself if able) to help. If you don't have help we won't deliver. If we get to your place and you don't have help we will not deliver your items. Your help canceling on delivery day is not a valid excuse. If you have trouble finding someone to assist you then we suggest you contact the local County Veteran's Service office, local VFW and American Legion Posts or a similar organiztion. It is your responsibility to ensure help is there when we arrive.
Place Veteran's initials here to indicate you understand and will comply with the help available when we deliver policy.*
Veteran's housing type you are moving to:*

Apartment 1 Bedroom (include apartment number in address above)Apartment 2 Bedrooms (include apartment number in address above)Townhouse or CondoSmall house (1 or 2 bedrooms)Large house (3 or more bedrooms)Mobile HomeOther
If you checked "Other" above then put that type here
Pick up or delivery (every request requires the veteran to fill out this form with requested items).*

We pick and deliver - Warehouse volunteers pick your items and deliver them to you (might take 2 weeks or longer to deliver).We pick and you take - Warehouse volunteers pick your items and you pick them up at the warehouse. Make sure you have enough space to load your items and straps to tie down your items.You pick and we deliver - I want to come to the warehouse to pick my items (you still need to complete this form) and warehouse volunteers deliver them to you (might take 2 weeks or longer to deliver). Wednesday or Saturday morning only, requires prior approval and appointment.You pick and you take - come to the warehouse to pick my items and I will take them with me. You still need to complete this form. Wednesday or Saturday morning only, requires prior approval and appointment. Make sure you have enough space to load your items and straps to tie down your items.
Requested shopping OR delivery dates/times. After your request is approved we will contact you to confirm the exact day and time of your delivery. Put N/A here if you are coming to the warehouse to shop and take your items with you OR WE SHOP and you are picking up your items at the warehouse.*
If we are delivering your items and to help us make your delivery go well please tell us about vehicle access to your new apartment/home? On delivery day we will be driving a pickup truck pulling a large trailer. Some examples of what you could put here include off street parking only, parking lot, circular driver, long driveway or you will need to back into building. Make sure your place is accessible so you can unload your items. Put N/A if you are picking up your items at the warehouse.*
Floor for delivery (select from list)*
Address I am moving to has (select one):*

Delivery floor is first floorStairsElevator
Add the WIDTH measurement and type of doors to help us select your furniture size. Example Front door 36", interior doors 32"*
We can usually provide most items a veteran in need and his/her immediate family find necessary to set up a household. While we try to keep this listing up-to-date our inventory is dependent on donations and fluctuates weekly - if your requested item(s) is not available we will do our best to get you a close substitute from our inventory.

PLEASE DO NOT SELECT MORE THAN ONE BED OR TV. OUR POLICY IS ONE PER VETERAN HOUSEHOLD.

Our primary mission is to provide items, including a bed if needed, to veterans in need. IF YOU HAVE CHILDREN THAT LIVE WITH YOU AND YOU NEED CHILDREN'S BEDS SEE NOTE AT THE BOTTOM OF THE VETERAN'S REQUEST PAGE (THE PAGE WHERE YOU FOUND THIS FORM)

Important Note: We DO NOT provide a traditional style mattress and box spring; instead you will receive a Mattress-In-A-Box and 14" high steel slat bed frame, both of which require you to set up and/or assemble. Once you unbox and roll out the mattress you must wait at least 24 to 48 hours (longer is better) before sleeping on it to allow full inflation. Sleeping on the mattress before it reaches full inflation may cause a permanent dent/depression in it.

Please make sure you select all items that you want/need. If you don't select something then that means you don't want it.
BEDROOM (Note: One Adult Bed per household - see above.) One set of new bedding & a pillow is included with a bed when available. Sometimes we have clean used sheets so explain below if you need them.*

No Bedroom Items requestedBed - California King 72" x 84"Bed - King 76" x 80"Bed - QueenBed – FullBed – TwinNight Stand/End TableDresserAlarm ClockTable LampSmall Table LampFloor Lamp
LIVING ROOM (Note: One TV Per Household)*

No Living Room Items requestedSofaLove SeatReclinerGlider RockerEnd TableTV StandBookshelfTable LampFloor Lamp
MISCELLANEOUS *

No Miscellaneous Items requestedSnow ShovelArea Rug – Medium to Small SizeVacuumLaundry BasketGarbage Can – SmallGarbage Can – MediumPlastic Patio ChairFolding Camp ChairWooden TV TrayIronIroning BoardRadioAlarm ClockClock – Wall MountWall Art
KITCHEN*

No Kitchen Items requestedKitchen Table – Seats 2-4 (Don’t forget to select chairs below)Kitchen Table – Seats 4-6 (Don’t forget to select chairs below)Kitchen Table – Seats 6-8 (Don’t forget to select chairs below)Kitchen Chairs – 2Kitchen Chairs – 4Kitchen Chairs - 6Bar Stool – No BackBar Stool – With BackMicrowaveToasterPaper Towel HolderMeasuring CupsMeasuring SpoonsKitchen Utensils–Flipper, Wooden Spoon, Rubber Spatula, Tongs, Meat Fork, Potato Masher, Cheese Grater, Etc.Colander/StrainerCutting BoardCooling RackSilverware Drawer OrganizerSilverware – Set of 615-Piece Knife Block SetSharp Kitchen Knives – Set of 6Steak Knives – Set of 4Plastic Food Storage ContainersSalt & Pepper ShakersWater PitcherCoffee Maker – 12 CupCoffee Maker – 4 CupCoffee Maker – Single ServeCooking Pots – SmallCooking Pot – MediumCooking Pot - LargeStock Pot – 5 qt or LargerFry Pan – SmallFry Pan – MediumFry Pan - LargeDishes - Set of 4 (Microwave-Safe Plates, Bowls & Coffee Cups)Dishes - Set of 6 (Microwave-Safe Plates, Bowls & Coffee Cups)Dishes – Set of 8 (Microwave-Safe Plates, Bowls & Coffee Cups)Coffee MugsKitchen Drinking Glasses – Set of 6Kitchen Juice Glasses – Set of 6Glass Serving BowlSpoon RestCasserole Dish – SmallCasserole Dish – MediumCasserole Dish – LargeMixing Bowl – SmallMixing Bowl – MediumMixing Bowl – LargeBake & Roast Set – Roasting Pan, Loaf Pan and Pie PanCake Pan/Baking Dish 9x13Cake Pan/Baking Dish 8x8Cookie Sheet/Baking PanMuffin TinBundt PanAngel Food Cake PanPie Tin/PlateLoaf PanSandwich MakerElectric Skillet/Frying PanFood ProcessorWaffle MakerElectric Can OpenerBlenderPersonal Blender (Small)Electric Hand MixerElectric Hand BlenderElectric Kettle/Hot Pot
Explanations and/or additional information.
After you submit the form you will receive a copy of your request via email. You will also receive another email with Delivery Agreement and ID request instructions; if you did not receive the second email or you want to speed up the process you can download the agreement document from the same web page where you found this form. You need to fill out, sign, and email the completed form along with a copy of proof of military service: VA ID, DD-214, retired military ID. etc (DON'T SEND PHOTO OF DRIVER"S LICENSE and DON'T SEND PHOTO WITH YOUR SOCIAL SECURITY NUMBER SHOWN) to the email listed on the agreement form.

Once you submit both forms you need to be accessible by email and phone so we can schedule your delivery. We try to complete and deliver your request quickly and you need to respond within two (2) weeks. Failure to respond to our calls and emails will result in you going to the back of the line and delaying your delivery; we may even cancel your request if we can't reach you.

If you would like to visit our Altoona, WI warehouse to shop in person please contact us for an appointment (715) 309-9663.

Have you selected all the items that you want/need? If you have additions, corrections or changes YOU MUST FILL OUT A COMPLETELY NEW FORM AND WE WILL DELETE YOUR FIRST REQUEST. Please double check your request and make sure all information is correct before clicking on the Submit Button.
Put today's date & name here to indicate you have read and will comply with the above response and delivery agreement/ID request policy.*
Should be Empty:

Veteran's Furnishings Request