Get Help: The HELP Center | United Way of Bucks County

United Way of Bucks County provides our neighbors with the basics.

The HELP Center fills the gap for local families in need by providing essentials like cleaning supplies, personal hygiene items, and home goods – completely free of charge – through a dignified personal shopping experience.

HOW TO GET HELP

To make an appointment at the HELP Center, you must be referred by a case manager from an approved United Way of Bucks County Member Agency. Your case manager will make an appointment on your behalf.

Case Managers can book an appointment for their clients online. To schedule an appointment, please fill out the form below. You must register each client separately through the form. Do not make an appointment if you have not registered. *Please note, once you submit your registration you should immediately get an email with the link to make an appointment. If you do not, please check your SPAM folder.

If you do not have a case manager through a nonprofit agency, please fill out the form below. Once you submit your registration someone from the HELP Center will reach out to you as soon as possible.

If you have any questions, please contact Nikki Farrior at nikkif@uwbucks.org or (215) 949-1660 ext., 106.

REQUEST AN APPOINTMENT

I am a(n)(Required)

Individual requesting an appointment

Case Manager from a Member Agency Requesting an appointment for my client

How did you hear about the HELP Center?(Required)

If other, please describe:(Required)

Do you have a case manager or social worker through another agency?(Required)

Yes

If you have a case manager or social worker through another agency, please fill out the form below and include their contact information so that we can forward your request. They will be asked to make an appointment on your behalf.

Case Manager Name(Required)

First Last

Case Manager Agency(Required)

What agency is your case manager from?

Case Manager Email(Required)

Case Manager Phone Number(Required)

CLIENT INFORMATION

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Gender(Required)

Male

Female

Prefer not to say

Race(Required)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other

Ethnicity(Required)

Hispanic or Latino

Non-Hispanic or Latino

Are you currently employed?(Required)

Yes

Seeking Employment

Other

What field do you work in?(Required)

Healthcare

Education, including child care

Retail

Hospitality

Government

Real estate

“Gig worker”

Human services

Other

HOUSEHOLD

Please indicate the number of people living in your home below. If none, enter 0.

Number of Young Children in Household (0-4):(Required)

If none, enter 0.

Number of Children in Household (5-17):(Required)

If none, enter 0.

Number of Adults (18-64):(Required)

If none, enter 0.

Number of Seniors (65 and over):(Required)

If none, enter 0.

Number of Total Members in the Household:

Number is auto-calculated.

Monthly household income (Estimated):(Required)

OTHER BENEFITS AND SERVICES

Are you/anyone in your household receiving any of the following benefits?(Required)

Check all that apply.

SNAP (food stamps)

LIHEAP (Heating/Energy Assistance)

UC (Unemployment Compensation)

Medicaid or Medical Assistance

CHIP (Children’s Health Insurance)

SSD (Social Security Disability)

WIC (Women, Infants and Children)

TANF (Temporary Assistance for Needy Families)

Child Care Works (Child Care Subsidy)

PACENET or PACE (Prescription Assistance)

Section 8 Housing or Other Housing Assistance

None of the above

I need help with

Food

Bedding and Linens

Household items

Baby items

Clothing

Other

If other, please describe:(Required)

Please describe your current situation.(Required)

List any financial hardships, current living situation, barriers to employment, etc.

HELP CENTER CLIENT WAIVER

Please check off the boxes to indicate that you have read and understand the terms to requesting an appointment at the HELP Center.(Required)

I understand that all goods I receive from the HELP Center are for personal use only.

I will not sell, trade, barter, or give away any of these goods to anyone else.

I will not use goods for fundraisers, raffles, or auctions.

I will not sell, trade, or barter donated goods in thrift stores, flea markets, or online.

I will not attempt to return goods to any retail store.

If you share anything about yourself during your visit, may we share aspects to encourage support for the HELP Center? We never use names or identifying details.(Required)

Yes

Newsletter (ind)

I would like to receive email updates from United Way of Bucks County

REFERRING CASE MANAGER INFORMATION

Referring Case Manager Name(Required)

First Last

Referring Case Manager Phone(Required)

Referring Case Manager Email(Required)

Case Manager Referring Agency(Required)

HELP Center Appointment Request Submission(Required)

*I affirm that the client has a valid need which they are unable to fill themselves.

CLIENT INFORMATION

Client Name(Required)

First Last

Client Address(Required)

Street Address Address Line 2 City State ZIP Code

Client Phone(Required)

Client Email(Required)

Client Gender(Required)

Male

Female

Prefer not to say

Client Race(Required)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Other

Ethnicity(Required)

Hispanic or Latino

Non-Hispanic or Latino

Is your client currently employed?(Required)

Yes

Seeking Employment

Other

What field does your client work in?(Required)

Healthcare

Education, including child care

Retail

Hospitality

Government

Real estate

“Gig worker”

Human services

Other

HOUSEHOLD

Please indicate the number of people living in your home below. If none, enter 0.

Number of Young Children in Household (0-4):(Required)

If none, enter 0.

Number of Children in Household (5-17):(Required)

If none, enter 0.

Number of Adults (18-64):(Required)

If none, enter 0.

Number of Seniors (65 and over):(Required)

If none, enter 0.

Number of Total Members in the Household:

Number is auto-calculated.

Monthly household income (Estimated):(Required)

OTHER BENEFITS AND SERVICES

Does anyone in your client's household receive any of the following benefits?(Required)

Check all that apply.

SNAP (food stamps)

LIHEAP (Heating/Energy Assistance)

UC (Unemployment Compensation)

Medicaid or Medical Assistance

CHIP (Children’s Health Insurance)

SSD (Social Security Disability)

WIC (Women, Infants and Children)

TANF (Temporary Assistance for Needy Families)

Child Care Works (Child Care Subsidy)

PACENET or PACE (Prescription Assistance)

Section 8 Housing or Other Housing Assistance

None of the above

My client needs help with:(Required)

Food

Bedding and Linens

Household items

Baby items

Clothing

Other

If other, please describe:(Required)

Comments or questions:

Newsletter (CM)

I would like to receive email updates from United Way of Bucks County

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