Pay It Forward Dane County

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  • About Us
  • Referral Form
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    • Home
    • About Us
    • Referral Form
    • Ways We Help
    • Can We Help
    • Our Impact
    • Donate
    • Contact

Pay It Forward Dane County

Pay It Forward Dane CountyPay It Forward Dane CountyPay It Forward Dane County
  • Home
  • About Us
  • Referral Form
  • Ways We Help
  • Can We Help
  • Our Impact
  • Donate
  • Contact

Referral process is simple - use this easy-to-complete form to submit your request

We rely on people working in schools, for non-profits and within the judicial system to refer women who are experiencing an unexpected  crisis or problem that isn’t handled by area social service agencies or government. 


Our role is not to replicate services provided by food pantries, clothing closets, housing agencies, etc. In other words, we do not cover ongoing monthly expenses, such as rent or utility  payments. Our express desire is to fill a need that might otherwise  slip through the cracks because it doesn’t fit the criteria of other programs. For examples, see Ways We Help.

Guidelines for referrals

There really are no strings attached. But we do ask you to adhere to the following guidelines.

  • Recipients must be female and reside in Dane County.
  • Requests for services provided by other social service agencies will not be funded. When applicable, we will provide suggestions where help for those requests might be met.
  • When making a referral, please provide details outlining why the gift is needed and how it will be used  by the recipient. Also, please specify a dollar amount.  
  • Self-referrals are not accepted. You may request a referral from a school official or non-profit agency.
  • Please note that checks are usually written and sent directly to the business or person providing the service. 

How to Apply

If you'd like to make a referral, please use the form below.

All referrals will remain anonymous, just as our members wish to remain anonymous.

Requests for money and/or services should not exceed $600. 

Use this for referrals

Pay It Forward Dane County

Madison, Wisconsin, United States

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