COVID Grant Program

UBCF developed the COVID Grant Program to meet the needs of our clients as the country responds to unprecedented circumstances. Our mission remains to provide service to all, regardless of age, race, gender, ethnicity, or income. 

The COVID Grant Program award includes gift cards and access to additional online services that will help reduce some of the stress that COVID continues to cause our community. The COVID Grant Program is open to women and men, in active treatment and in remission up to 10 years. Please note, this program is different from the UBCF COVID-19 Emergency Assistance Program established in 2020.

COVID Grant Program Guidelines:

  • UBCF is processing requests through email and our online application only. 
  • Open to women and men.
  • Open to those in active treatment.
  • Open to those in remission up to 10 years.
  • Applicants are required to submit medical documentation including the date of your breast cancer diagnosis or date of “no evidence of disease”.

Supplemental Documentation (Required)

The following documents are required to be submitted with your application:

  • HIPAA Compliant Authorization (filled out by you) and Medical Information Form (filled out by a medical professional). Form available to download HERE
  • documentation regarding your health status
  • invoices/ bills/ receipts you are requesting financial assistance with
  • income verification

Fraudulent Applications

UBCF prides itself on providing support to breast cancer patients, survivors, and their families. We have been incredibly disappointed by several instances of fraudulent applications being submitted to us. Not only is this practice unethical and immoral, but it takes finite resources away from those truly struggling through the lasting impact of a breast cancer diagnosis. Fraudulent applications and materials will not be accepted and may be subject to administrative, civil, or criminal liability.

Be aware, that by submitting this form, you are agreeing to the following statement:

“I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.”

COVID Application

 

COVID Grant Program
COVID Grant Program open to women and men, in active treatment and in remission up to 10 years.