[vc_row][vc_column][vcex_spacing size=”20″][vc_column_text css=””]
Purpose:
The Emergency Assistance Fund provides short-term financial support and resources to individuals and families affected by epilepsy in Colorado and Wyoming. The fund is intended to help during an acute, one-time financial crisis. It is not designed to provide ongoing financial assistance or long-term sustainability.
Eligibility:
- Residency: Applicants must reside in Colorado or Wyoming and be directly impacted by epilepsy.
- Frequency of Support: Applicants who receive funding for two consecutive calendar years are not eligible for additional assistance for the following 24 months.
Funding Considerations:
- All requests are evaluated on a case-by-case basis.
- Decisions are based on multiple factors, including individual circumstances and the Foundation’s current budget.
- The amount and type of assistance may vary depending on need and available resources.
[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vcex_heading text=”Instructions”][vcex_spacing size=”20″][vcex_steps steps=”%5B%7B%22heading%22%3A%22Review%20Eligibility%20Criteria%20before%20completing%20this%20application%22%7D%2C%7B%22heading%22%3A%22Complete%20entire%20form%22%2C%22text%22%3A%22Incomplete%20applications%20may%20be%20subject%20to%20denial.%22%7D%2C%7B%22heading%22%3A%22Proof%20of%20Diagnosis%22%2C%22text%22%3A%22Proof%20of%20diagnosis%20and%20other%20supporting%20documents%20may%20be%20requested%20upon%20review%20of%20application.%22%7D%5D” center=”true”][vcex_spacing size=”20″][vc_cta h2=”Application Review Timeline” css=””]Once the application and all supporting documents are received, it can take up to 5 business days to process the application.[/vc_cta][vcex_spacing size=”20″][vcex_heading text=”Eligibility Criteria”][vc_column_text css=””]
To qualify for Emergency Assistance Funding, applicants must meet the following criteria:
- Diagnosis of epilepsy. Documentation may be requested. Approved forms include a photo of your prescription or letter from your doctor.
- Need must be related to the effects of epilepsy.
- Assistance must benefit the person with epilepsy or their immediate family members/care partners.
- Assistance requested/provided does not duplicate other aid received for the same costs.
- Financial need will be determined using standard income guidelines as a reference point. If your household income is above these guidelines but you experience increased expenses related to epilepsy, please explain this in the application.
[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][gravityform id=”2″ title=”false” description=”false” ajax=”false”][/vc_column][/vc_row]