Each grant year begin your application by clicking on start new application.
Once you have submitted your 2022 application, you may click on log in for current application and use your previous username and password.
I am prepared to complete an online application for assistance and provide all required documents.
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
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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 2022, 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 2022 calendar year between 1/1/2022 and 12/31/2022. We also verify information reported with the IRS. We are unable to accept a W9 dated prior to 2022.
All grants are paid by check and mailed directly to the entity, landlord or company and NOT to the patient.