Emergency Assistance Program

UBCF developed the Emergency Assistance Program (EAP) in order to support breast cancer patients and survivors.

The award includes gift cards and access to additional online services that will help reduce stress. The EAP is open to women and men, in active treatment and in remission up to 5 years. Please note, the EAP has replaced the COVID Grant Program, therefore, past COVID Grant Program recipients may not apply for an EAP.

Emergency Assistance Program Guidelines:

  • UBCF is processing requests through email and our online application only. 
  • Make sure EAP@ubcf.org is added to your contacts so you receive our emails.
  • Open to women and men.
  • Open to those in active treatment.
  • Open to those in remission (No Evidence of Disease – NED) up to 5 years.
  • Applicants are required to submit medical documentation including the date of your breast cancer diagnosis or date of remission/ NED.

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.

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.”

Emergency Assistance Program Application

Emergency Assistance Program is open to women and men, in active treatment and in remission up to 5 years.