Aid Application, Income, Expense and Debt Verfication_Compassionate Caregivers Fund - Flipbook - Page 2
3. When do you need the Fund Aid?
4. Have you used up significant portions of existing assets to meet this emergency? Please describe.
5. Have you ever applied for Aid from this fund before? If so, when and what was the result?
6. If not awarded, what are the alternatives to meet the emergency? Please describe.
7. Other comments/information that would be helpful in reviewing this application? Please
provide any additional information to help the committee make a recommendation. This area is
not required, however, the better the committee understands the events that have occurred, the
better they will be able to evaluate your request.
8. Will any of these expenses by covered by insurance? Please list coverage and deductibles.
