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Safe Haven Materials Request

The form below is for Safe Haven facilities in the state of Louisiana to request materials. If you are a Safe Haven facility in Louisiana, please fill out the form below and you will receive your items in 7 to 10 days.

These items, along with the Medical and Genetic History Form, are also available for downloading and printing via http://www.dcfs.louisiana.gov/index.cfm?md=pagebuilder&tmp=home&pid=223

Decals say "Safe Baby Site"

Number Requested of Each