Liability Waiver

Liability Waiver and Acceptance Form

Items Picking up

what did you pick up today?


Waiver text

The ReCARES Network accepts donations of health care supplies and durable medical equipment (DME) from donors and in turn supplies these items to individuals in need. The program and its representatives make no statements regarding the usefulness of the items for any particular purpose. The program offers these itmes “as is” with no expressed or implied warranties. We ask you not to sell or discard these items when they are no longer needed. Our program works by recirculating the DME back out to the community, so please return them to ReCARES for continued usefulness.

By signing below you are making the following statement:

“I have inspected all of the items I am receiving and find them to be safe and useful for our intended purpose. I agree to indemnify and hold harmless ReCARES, its officers, agents, employees, subcontractors and/or volunteers from any and all liability, and any and all claims, demands, costs, damages and expenses of any type whatsoever which are in any manner connected to our acceptance, transportation, storage, use, disposal or other management of these items regardless of how long we own the equipment. It is expressly agreed that the liability of the ReCARES Network will be limited to their good faith efforts to provide useful goods and there are no other warranties or representation with respect to the nature and quality of the goods provided.”


User Information

ReCARES relies on grants and financial contributions to pay for our program costs. Please consider a tax deductible donation when you are able. You can donate here in person at the site (cash/check) or online through Facebook.com/ReCARES, recares.org, or via PayPal/credit card. Thanks so much!


User Demographics

Information about the end user


Your Information

Information about the person picking up


Intended User

If you are picking up for someone else, fill out the below information.