Get ready to apply
Locks of Love
Hairpiece Program
What you get
Free synthetic wigs for short-term medical hair loss and custom fitted hairpieces for long-term hair loss. Open now.
- Who starts it
- You
- How it’s sent
- Online, on their website
- Your time
- About 30 minutes
- Last checked
- Sep 26, 2026
Before you start, check you fit
- Your child is 21 or under.
- Financial need is required. Ask the program how it assesses your household income.
- Short-term hair loss allows a synthetic wig only. A custom hairpiece requires long-term hair loss.
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open their application ↗ Checked Sep 26, 2026What the form asks for
Hairpiece Application answersFirst NameLast NameMiddle InitialAddress Line 1 / Address Line 2 / City / State / Zip CodeDate of BirthGenderEthnicityFirst Name / Last NameRelationshipAddress Line 1 / Address Line 2 / City / State / Zip CodeHome PhoneWork PhoneCell PhoneEmailHow did you hear about usReferred ByLength of Treatment if applicableHave ready
- Doctor's diagnosis document.
- Photo without a hat or hairpiece.
- Most recent 1040 or alternative proof of income.
- Two letters explaining how the child would benefit.
After you send
Contact Locks of Love by phone or email for age-21 questions, alternative paper application by mail, or clarification about whether treatment-related loss qualifies as long-term. If you have not heard back in two weeks, write and ask whether it arrived.