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Financial Aid

We are no longer accepting new applications for 2021. You may apply for a 2022 grant after December 22, 2021. Thank you.

Important Year End Dates for 2021 Applications

  • November 30 – Last day to submit 2021 requests/bills for payment or get new applications approved
  • December 6 – 2021 online application system access will be shut down
  • December 13 – Guaranteed date of final payments for 2021

2022 Grant Applications open online here on December 22

  • All applicants must submit a new application and documents for 2022 consideration

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.

Apply for Financial Aid

If you would like to apply for funding in 2022, please click the "Start New Application" button below.


All applications must be submitted electronically online.

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 foundation@flcancer.com

To be eligible to receive financial assistance from the FCS Foundation, you must:

  • Be a current Florida resident over 18 years old
  • Be actively undergoing cancer treatment in Florida or within 90 days of your final treatment date. Eligible treatment is chemotherapy, radiation, immunotherapy, hormone therapy, and stem cell transplants.
  • Have an annual household income at or below 200% of the Federal Poverty Guidelines – see table below. (Will be required to provide bank statements and proof of income for all members of household over 18 years old)
  • Have less than $5,000 in total household liquid assets (checking, savings, CD, stocks etc.)
  • Complete an online application for assistance and submit all required support documentation
200% of Federal Poverty Guidelines
# of People in the HomeMonthly IncomeAnnual Income
1$2,265$27,180
2$3,052$36,620
3$3,838$46,060
4$4,625$55,500
5$5,412$64,940
6$6,198$74,380
7$6,985$83,820
8$7,772$93,260
Each Additional$787$9,440

The Foundation has an award limit of $2,000 per applicant per calendar year.

The types of bills that can be paid include:

  • Rent*, lot rent or mortgage payments
  • Homeowners insurance
  • Utilities – electricity and water and sewer
  • One phone bill – either landline or cell, covered up to $50 per month
  • Car payments or car insurance for one car

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.

FCSF is unable to pay the following bills:

  • Medical expenses (including prescriptions)
  • Credit cards
  • Tax bills
  • Entertainment (TV, Internet, etc.)
  • Health insurance
  • Personal or student loans

All grants are paid by check and mailed directly to the entity, landlord or company and NOT to the patient.

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I used the funds to help pay my Duke Energy bill and my auto insurance… I just can’t thank enough the people who are willing to donate.

 

Sam Hertog
Grant Recipient

Helpful tips to submit all the information we need to review your 2022 application more efficiently

  • Verification of treatment: Please provide a treatment letter signed from your oncologist, on letterhead, with your cancer diagnosis, that confirms you are actively undergoing treatment for cancer or within 90 days of final treatment. Eligible treatment is chemotherapy, radiation, immunotherapy, hormone therapy, and stem cell transplants. If you are treated at an FCS clinic we will verify your treatment for you. CLINIC NOTES WILL NOT BE ACCEPTED.
  • Proof of income: We will need proof of income for you and any other household members over 18, i.e., copy of your Social Security benefits letter or 30-days of your most recent pay stubs. If you do not have income, we will need a notarized letter from you stating that.
  • Banking accounts: The Foundation requires proof of income for each adult in the household. Please provide 3 of your most recent banking statements for checking and savings accounts, complete with all pages including transaction & deposit history. Your statement should show bank name, account number and owner(s) name. Please send all numbered pages.
  • Submitted non-medical Expenses: Please submit actual (electric, car payment, mortgage etc.) bills. Make sure the bill shows your name and address, account/policy number, amount owed and an address to remittance address. Foundation pays directly to the vendor. We cannot accept partial screenshots. Please submit pdfs if possible.
  • 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.
  • You can download a copy of the W-9 form here https://www.irs.gov/pub/irs-pdf/fw9.pdf
  • Additional household members over 18 years old: Please create and complete sub profiles for those you indicated are over 18 that live in your household and provide proof of income and banking for each.
  • Submit pdfs easily. If you need to submit pdfs by email or to upload to your application there is a FREE scanner app for androids and iPhones. https://acrobat.adobe.com/us/en/mobile/scanner-app.html
Miguel