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

Childhood Cancer Lantern
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Children's Cancer Family Foundation of Northeast Wisconsin

Financial Assistance Program

What you get

Up to $3,000 a year for educational needs during and after treatment, everyday living expenses, out-of-pocket medical expenses, travel-related expenses. Open now, but funds are limited, so ask early.

Who starts it
You, with a letter from your social worker or doctor
How it’s sent
Email to admin@ccffnew.org
Your time
An hour or so, plus waiting for the letter
Last checked
Aug 26, 2026

Before you start, check you fit

  • The public materials do not state seasonal deadlines.
  • Incomplete applications may be returned or denied.
  • The family must reside in one of the 18 listed northeastern Wisconsin counties.

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

    Children's Cancer Family Foundation of Northeast Wisconsin needs 2 things from your social worker or doctor. Copy this message, or say it in person at the next visit.

    Hi [social worker’s name],

We’d like to apply to Children's Cancer Family Foundation of Northeast Wisconsin’s Financial Assistance Program. They offer up to $3,000 a year for educational needs during and after treatment, everyday living expenses, out-of-pocket medical expenses, travel-related expenses, and they are taking applications now while funds last.

They need 2 things from you or someone on the care team: a signature on the form and a letter. Their form and instructions are here: https://www.ccffnew.org/financial-assistance

Could you write that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. 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 formPrint it, or fill it in on screen if the PDF allows.

    Open the application PDF ↗ Checked Aug 26, 2026

    What the form asks for

    Child’s Information
    Child’s Information — NameDate of birthGenderAddress / City / County / State / Zip
    Family Information
    PARENT/GUARDIAN 1 — NameAddress — Same as aboveAddress / City / County / State / ZipHome phoneCell phoneBest time to callEmailPARENT/GUARDIAN 2 — NameAddress — Same as aboveAddress / City / County / State / ZipHome phoneCell phoneBest time to callEmailSIBLING(S) — Name(s) and age(s)
    Show the rest of the form (4 more sections)
    Medical Information
    Child’s diagnosisDate of diagnosisChild’s physicianHospital nameHospital full addressSocial worker nameSocial worker direct phone and extension
    Personal and Financial Information
    How did you hear about CCFFMarital statusRaceHow many people live in your householdHow many parents are employedDo you have health insuranceWhere do you get your insuranceWhat is your deductible per personWhat is your deductible per familyWhat is your out-of-pocket maximum per personWhat is your out-of-pocket maximum per familyTotal gross income (before taxes) for familyWhat type of bills are you asking us to help with (medical, travel, utilities, mortgage, rent, education assistance, etc)Total amount you are requestingPlease tell us about your family’s pediatric cancer journey so we can get to know you better — share a little about yourself, your family, and your most immediate needs so we can best understand how a financial grant from CCFF would benefit you
    Medical and Publicity Releases
    I understand and grant my permission to all my child’s doctors, social workers, clinics and hospitals to release all healthcare and billing informationChild’s nameParent/guardian SignatureDatePublicity ReleaseChild’s nameParent/guardian SignatureDate
    Physician Information and Signature · your care team fills this in
    Child’s Information — NameDate of birthChild’s diagnosisDate of diagnosisPhysician Information — NameAddress / City / State / ZipOffice phonePhysician SignatureDate

    Have ready

    • Most recent Explanation of Benefits from the insurance carrier for a medical, travel, or living-expense request.
    • Summary of Benefits and Coverage when the family does not know the plan deductible or out-of-pocket maximum.
    • For educational assistance, a teacher or principal letter stating the need for the additional resource and including the educator's contact information.
    • For tutoring requests, invoices from a Wisconsin-licensed educator or certified clinician/educational specialist, including the tutor's or clinic's credentials.

  3. Email your application and the letter togetherTo admin@ccffnew.org.

    • Complete the application in its entirety and attach the documents required for the request type.
    • Before transmitting the signed application, medical release, insurance records, or any other sensitive document, call 920-939-6744 or email admin@ccffnew.org to obtain the current secure submission instructions.

    Email: admin@ccffnew.org

    Subject: Financial Assistance Program application, [child’s name]

Hello,

Attached are our completed application and the letter 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

Ask CCFF how receipt and status will be confirmed; the official materials do not publish a review timeline. Keep a copy of the completed application and a checklist of attachments, but store signed releases and medical/insurance records securely. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published