I am prepared to complete an online application for assistance and provide all required documents.
Estoy preparado para completar una solicitud en línea de asistencia y proporcionar todos los documentos requeridos.
If you do not have access to a computer, please call the Foundation to have a volunteer or staff member help you complete an online application over the phone. You may bring required documents to your oncologist’s office for them to assist you in faxing documents to 813-623-4703 or emailing them to email@example.com
|# of People in the Home||Monthly Income||Annual Income|
If you share bills with an individual who is not a part of your household, FCSF may pay your share.
*Rent requires lease and W9 for payment: If you are submitting a lease for us to pay rent in 2023, we require a W-9 form to be filled out by your landlord or property management company. Due to IRS guidelines, the W9 must be dated within the 2023 calendar year between 1/1/2023 and 12/31/2023. We also verify information reported with the IRS. We are unable to accept a W9 dated prior to 2023.
All grants are paid by check and mailed directly to the entity, landlord or company and NOT to the patient. Please allow time for the mail to arrive.