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Christmas Assistance Application

2026 Holiday Season  ·  Fairfield County 2-1-1  ·  Lancaster, Ohio

Accepting Applications starting October 2, 2026  ·  Appointments will be scheduled
Please bring a photo ID for the person applying.
Applications will be accepted on a first come, first serve basis.
Photo ID Verified
Date
Staff use only
Parent / Guardian Information
Child Information (Please list things each child likes — not a wish list)

Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Additional Information
Signature

I certify that the information on this application is true and that the children listed live in my household.

Parent / Guardian Signature
For Staff Use Only
Approved / Denied
# of Children
Pick-Up Date
Notes

This section is completed by program staff only.

Finished filling out your application?

Print it (or save as PDF) and bring the printed form along with your photo ID to Fairfield County 2-1-1, 108 West Main Street, Suite C, Lancaster.

Christmas Assistance Application 2026