Please review the questions below. If you respond yes to all of the following criteria, we encourage you to proceed with the application process.
Can I answer yes to all of the following six questions below?
1. I am a:
- · Full-time employees (defined as those who work a minimum of 40 hours per week)
- · Part-time employees who work a minimum of 30 hours
2. Has the event occurred within 90 days of your application?
3. Is this my first or second time applying for a grant within this calendar year?
4. To be considered for a grant, one of the below events must have occurred. The hardship must then relate to the event for which you are applying. Has one of the events listed below occurred?
- · QUALIFIED DISASTER: These events include state or federally-declared disasters, disasters resulting from common carrier accidents, and disasters that result from a terroristic or military action.
- · DEATH OF EMPLOYEE OR THEIR IMMEDIATE FAMILY MEMBER: This includes the death of the employee, spouse, or eligible dependent(s). The loss of income or the cost of funeral expenses or medical bills must significantly impact the family’s resources. The Fund may also be able to pay expenses to bring a child whose parents have died to live with a new family, typically a relative.
- · NATURAL DISASTERS: Situations such as wildfire, flood, tornado, hurricane, severe storms, or earthquake that have damaged or destroyed the employee’s primary residence. The Fund cannot pay to repair other property and cannot pay to replace non-essential items, e.g., electronics, etc. Photographs and/or insurance reports may be required.
- · SERIOUS ILLNESS or INJURY, or NON-ROUTINE/EXCEPTIONAL MEDICAL EXPENSE: The Fund is not a substitute for medical insurance; employees do not automatically qualify for a grant when they, or their dependents, are diagnosed with or suffer a life-threatening or serious illness or injury. A resulting financial need must place significant pressure on the family’s financial resources. Doctor confirmation and/or medical documentation will be required.
- · DOMESTIC ABUSE: This is a situation that causes the employee and other victims to leave an unsafe residence.
- · IMPACTS TO PRIMARY RESIDENCE: This includes but is not limited to fire, flood, etc, causing major home damage that could not be prevented and significantly impacts the family’s resources. Police, fire, or other official incident report may be required.
- · VICTIM OF A VIOLENT CRIME: This includes a serious crime against the employee (robbery, arson, assault, or other reportable crime) that significantly impacts the family’s resources.
5. Is the hardship you are facing because of the above event listed below?
- > Food, Clothing, and Housing: immediate needs only applicable up to 30 days after the Event
- > Rent/Mortgage: Housing-Mortgage or rent assistance for primary residence
- > Security Deposits: For new housing if unable to inhabit the existing home
- > Essential Utility Expenses
- > Cost of rental car or public transportation for up to 30 days
- > Unable to work due to the event
- > Unexpected childcare for up to 60 days
- > Reasonable repairs to damaged property
- > Reasonable evacuation expenses
- > Reasonable funeral, travel, and burial expenses
- > Medical expenses not covered by insurance, including prescription medication
- > Psychological counseling deemed by a physician to be necessary following an event and more than what is covered by insurance
- > Expenses resulting from flight from domestic violence, such as temporary housing