Written by a parent, not a doctor. Nothing here is medical advice.

Childhood Cancer Lantern
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Care Fund

Rent or Mortgage Assistance

What you get

One current month of rent or mortgage, paid to your landlord or lender during an extended hospitalization. Open now.

Who starts it
You, with a document from your social worker or doctor
How it’s sent
Email to info@thecarefund.org
Your time
An hour or so, plus waiting for the document
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 18 or under.
  • Your child must be in a current extended hospitalization.
  • You must give evidence of financial hardship.

  1. Ask your social worker or doctor for the documentStart here. This is the part that takes the longest.

    Care Fund needs a signed confirmation of the diagnosis from your social worker or doctor. It has to cover one thing. Copy this message, or say it in person at the next visit.

    Hi [social worker’s name],

We’d like to apply to Care Fund’s Rent or Mortgage Assistance. They offer one current month of rent or mortgage, paid to our landlord or lender during an extended hospitalization, and they are taking applications now.

They need a signed confirmation of the diagnosis from you or someone on the care team. It has to cover professional reason our family is recommended for Care Fund housing assistance. Their form and instructions are here: https://www.thecarefund.org/eligibility

Could you do that when you have a chance? I can send you the link, or bring a printout to our next visit. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.

  2. Fill in their applicationIt is on their website.

    Open their application ↗ Checked Aug 27, 2026

    What the form asks for

    Family & Medical Information
    What is the expected duration of the hardship? (circle one)Why are you recommending this family for Care Fund assistanceFax NumberThe undersigned hereby certifies (please check all that apply)Child's Name (affected by illness or injury)Child's Date of BirthName, age and relationship of other individuals living in your home. Please include all adults and childrenWe are residents in the State of ArizonaCare to Share? The Care Fund would like to know more about you and your family! Please utilize this section to tell us more about each member of your family; including interests & hobbiesChild's Medical Situation: Please write a description of your child's medical situation to include: 1. Type of illness or injury 2. Diagnoses 3. Other supporting medical informationDates of your child's hospitalization, home care and/or treatment(s), dates of surgeries and treatmentsChild has had: (check all that apply)Doctor's NameDoctor's Office or HospitalDoctor's E-mailDoctor's Phone NumberInsurance or medical coverage provider
    Personal Information
    P#1 NameP#2 NameP#1 Date of BirthP#2 Date of BirthP#1 Social Security #P#2 Social Security #P#1 E-mail addressP#2 E-mail AddressP#1 Home AddressLength of time at this addressIs this the same address that the ill/injured child resides at2nd address if less than 2 years at current addressP#2 Home Address (if different than P#1)Length of time at this addressSecond address if less than 2 years at current addressLength of time at this addressP#1 Best Contact Phone NumberP#2 Best Contact Phone NumberI am the child'sI am the child'sPrimary LanguagePrimary LanguageHow would you classify yourselfHow would you classify yourselfMarital Status of Parents/GuardiansIf parents are divorced or separated, who has custody of the childMilitary Service for either ParentHave you previously received housing assistance from the Care Fund or any other donation site, foundation or source (for example, GoFundMe)? If YES, when and from whomPlease tell us how you heard about the Care Fund, or indicate who referred you to us and provide the Social Workers name and email address if available
    Show the rest of the form (7 more sections)
    Employment & Income Information
    Are you currently employed full-timeP#1 Name & Address of current or most recent employerP#1 Business Phone NumberP#1 Position/TitleP#1 Years employed in this line of workP#1 Length of time on this jobP#1 Gross Monthly IncomeAmount of Additional Overtime, Bonus or Commission Income ReceivedP#1 Are you currently on unpaid leaveIf yes, what was your leave start dateP#1 Are you currently on State UnemploymentP#1 Name & Address of Previous or Additional EmployerAre you currently employed full-timeP#2 Name & Address of current or most recent employerP#2 Business Phone NumberP#2 Position/TitleP#2 Years employed in this line of workP#2 Length of time on this jobP#2 Gross Monthly IncomeAmount of Additional Overtime, Bonus or Commission Income ReceivedP#2 Are you currently on unpaid leaveIf yes, what was your leave start dateP#2 Are you currently on State UnemploymentP#2 Name & Address of Previous or Additional Employer
    Additional Sources of Household Income
    Social Security/Social Security DisabilityChild Support/AlimonyFoster CarePension/RetirementFood StampsUnemployment/Workers CompensationOther Public AssistanceGrantsOther Non-Profit Organizations (provide name and amount received)Other
    Household Obligations & Liabilities
    Mortgage PaymentRent PaymentCar Payment 1GroceriesCar Payment 2Gas/fuelCar InsuranceMedication/PrescriptionsCable/Internet/PhoneHealth InsuranceCell Phone(s)Medical Co-PaysChild CareDental/VisionChild Support/AlimonyOther Out-of-Pocket Medical ExpensesStudent Loan(s)Un-reimbursed Business ExpensesUtilities (Power)Credit Card PaymentsUtilities (Gas)Attorney/LegalUtilities (Water/Sewer/Trash)Healthcare Related TravelOther 1Other 2Other 3Other 4
    Housing Expense Information
    Will landlord accept ACH paymentName of primary mortgage lender OR landlord/property manager/lessorPayment Address: Full address requiredContact Name, Phone Number & Email Address (if available)Monthly Payment AmountAccount Number (if applicable)Name(s) on mortgage or leaseFor a second mortgage, please provide the same information below & attach a statementAre you current on your mortgage or rent paymentsIf no, how far behind are youAre your mortgage or rent payments automatically withdrawn from your bank accountIf yes, what day of the month are funds withdrawn from your account for paymentI/We hereby authorize the mortgage lender or landlord listed above to provide the status of my/our mortgage loan or lease to the Care FundName(s) as your electronic signatureToday's date
    Assets and Work & Financial Impact
    Vehicle 1 (Year/Make/Model)Vehicle 1 ValueVehicle 2 (Year/Make/Model)Vehicle 2 ValueSelecting "I authorize" or "We authorize" below signifies my/our authorizationPrimary Residence (Address)Residence ValueAdditional Residence (Address)Additional Residence ValueChecking Account BalanceSavings Account BalanceBank Account Balance 1Bank Account Balance 2401k/Retirement Account BalanceOther Savings BalanceOther (Watercraft, RV, etc)Stocks/Bonds/CDsOther Asset 1Other Asset 2Work & Financial Impact: Please use this space to provide details regarding the financial hardship experienced by your family
    Application Authorization, Release, and Checklist
    By selecting "I AUTHORIZE/WE AUTHORIZE" below, I/We affirm and agree that I/We have read the guidelines, attest the information is true, authorize medical discussion, and permit verificationName(s) as your electronic signatureToday's dateFrom belowName(s) as your electronic signatureToday's dateIf authorizing the release: I/We understand that neither my child nor I/us will receive any compensation and waive rights of privacy and/or approvalName(s) as your electronic signatureToday's dateI/We hereby grant the Care Fund permission without restriction to use in all media my child's name and photo, and my/our name and photo, as well as the story of my child's illness, injury and/or treatmentName(s) as your electronic signatureToday's dateMost recent mortgage statement or lease agreement (all pages) providedI/We have signed off on all parts of the applicationI/We have provided our most recent 2 paystubs from any income sourcesI/We have contacted our child's medical provider or hospital social worker, to complete the medical certification form
    Medical Certification · your care team fills this in
    Child's Name (affected by illness or injury)Child's Birth DateChild's current conditionThe undersigned hereby certifies (please check ALL to confirm)The child's diagnosis is as follows (please provide as much detail as possible)Date of child's initial hospitalizationDate of anticipated releasePotential outlook for the next 6-9 months for the patient. (Inpatient or outpatient treatments, rehab, hospitalization, surgery, etc). Please provide as much detail as possibleName & professional designation of individual completing this certificationHospital AffiliationPhone NumberEmail AddressAddressI am the child's: (select one)Additional CommentsBy selecting "I CERTIFY" below, I acknowledge & certify the information I have provided on this Medical Certification FormFull name below as your electronic signatureToday's date

    Have ready

    • Two most recent pay stubs from every income source for anyone working in the home over age 18.
    • All pages of the most recent mortgage statement or current executed lease agreement.
    • Most recent statements for all bank accounts disclosed in the application, including linked transfer accounts.
    • Legal guardianship or court-ordered custody documentation when the applicant is not the child's parent.

  3. Email your application and the document togetherTo info@thecarefund.org. Your social worker or doctor can send it instead if the document has to stay with them.

    • Parent or guardian submits the family housing application and supporting documents online or emails downloaded documents to info@thecarefund.org.
    • The child's medical provider or hospital social worker must submit the medical certification directly online or by email; family-submitted medical certifications are not accepted.

    Email: info@thecarefund.org

    Subject: Rent or Mortgage Assistance application, [child’s name]

Hello,

Attached are our completed application and the document from [social worker’s name] at [hospital]. Please let me know that it arrived and if anything is missing.

Thank you,
[your name] · [phone]

After you send

Care Fund may contact the family or professional verbally or by email to verify information or request missing items. Care Fund's Review Committee decides case by case based on available funds and contacts the family with the final determination. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published