Request Form

Life hit a wall? We want to help!
If you were referred to Friendship House or are a referring agency, please fill out this form and we will get back to you as soon as possible.

You may also call our Help Line at (302) 482-2271 and leave this information on our answering service to receive a call back from a Friendship House staff member.

You can also use the printed version, Friendship House Request Form, and fax it to (302) 652-8641 or email as an attachment to

This is not to be used for clothing requests. Click Here for clothing requests.