Requesting Assistance

The application form must be fully, accurately and truthfully completed. The applicant may be required to furnish additional information and/or documentation to support their application and/or verify the information provided. The Care Foundation will typically approve or deny an application within one week. 

By submitting this application, and unless otherwise prohibited by applicable law, you hereby authorize The Care Foundation, including its board members or employees, to contact third parties to validate the information contained in the application for purposes of determining whether assistance can be provided. Any violation of company policy or applicable law may result in appropriate discipline including termination. 

Complete the Assistance Form below. Fill in the form completely and gather all required documentation. Once you submit your application through the form provided below, you will receive an email confirming that your application has been received.