Get ready to apply
Tommy Fund for Childhood Cancer
Fund for Families
What you get
Help with car payments, mortgage, other approved family needs, rent and utilities. Open now.
- Who starts it
- You
- How it’s sent
- PDF form, sent the way they ask
- Your time
- An hour or so
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Treatment must occur in the named Tommy Fund/Yale New Haven–affiliated network.
- Bills are paid directly.
- You need to show financial need.
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What their form asksA preview, so you can gather things first. Fill it in on their site.
Open the application PDF ↗ Checked Aug 27, 2026What the form asks for
Application for AssistancePatient’s First NamePatient’s Last NameAddressCityParent/Guardian’s namePatient Date of BirthAgeParent/Guardian’s emailRace/EthnicityParents/Guardian’s phone #Number of members in the householdAges of siblingsChild’s DiagnosisDate of DiagnosisIs the child still receiving chemotherapyRadiation TherapyChild’s OncologistChild’s Social WorkerLocation Child is Receiving TreatmentHouseholdMedicalFood/Transportation/OtherTotalIncomeCheckingSavings/OtherTotalHave you received support from the Tommy Fund in the pastHow many timesHave you received assistance from other organizations since your child has been diagnosedHave you received fundraising help from your communityShare any unique situation(optional)What assistance is specifically needed from the Tommy Fund? (please list amount or item needed)Month in which assistance is neededOther ways the Tommy Fund may be of assistance (emotional support/mentorship/gifts & food at holidays/etc)I wish to stay involved in the Tommy Fund when the time is right, please contact meSignature of Parent/Guardian (or patient if over age 18)DateHave ready
- Completed one-page Tommy Fund Application for Assistance.
- Copy of each bill requested for direct payment.
After you send
Ask the social worker to confirm receipt and whether anything else is needed; Tommy Fund states that applications are reviewed weekly. If you have not heard back in two weeks, write and ask whether it arrived.
