Get ready to apply
Tenaciously Teal
Gas and Grocery Cards
What you get
Gas and Grocery Cards. The amount isn't published. Ask. Ask whether requests are open.
- Who starts it
- You, with a document from your social worker or doctor
- How it’s sent
- Online, on their website
- Your time
- About 30 minutes, plus waiting for the document
- Last checked
- Aug 28, 2026
Before you start, check you fit
- Allow 10–15 business days for processing after you submit a request.
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Ask your social worker or doctor for the documentStart here. This is the part that takes the longest.
Tenaciously Teal needs a note confirming the diagnosis 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 Tenaciously Teal’s Gas and Grocery Cards. They offer gas and Grocery Cards, and we are checking whether they are taking requests. They need a note confirming the diagnosis from you or someone on the care team. Their form and instructions are here: https://www.tteal.org/gas-grocery-cards 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. -
Fill in their applicationIt is on their website.
Open their application ↗ Checked Aug 28, 2026What the form asks for
Gas and Grocery Card applicationPatient nameContact Phone*Contact Email*Date of birth*Address*Patient gender*NAME OF ONCOLOGIST/PHYSICIAN TREATING CANCER*NAME OF HOSPITAL/CLINIC*DISTANCE TRAVELED ONE-WAY TO TREATMENT FACILITY*PRIMARY CANCER*TYPE OF ACTIVE TREATMENT*TREATMENT CENTER Information*RELATIONSHIP TO PATIENT*HAVE YOU PREVIOUSLY RECEIVED A GAS OR GROCERY CARD FROM TENACIOUSLY TEAL?*DESCRIBE IN DETAIL WHY ASSISTANCE IS NEEDED*I AM MOST IN NEED OF A*Total number of family members in household*EST. GROSS HOUSEHOLD INCOME:*Patient verification uploadTruthfulness, verification-contact, and retailer-contact acknowledgments* -
Submit it on their websiteSend the document with your application, or the way they ask.
- Do not submit while distribution is on hold; prepare the answers and treatment verification for reopening.
After you send
The page says requests may take 10–15 business days to process after submission. If you have not heard back by then, write and ask.
