SPROUT LOVE FINANCIAL ASSISTANCE PROGRAM

All required application materials must be submitted by email to sproutlove@cancersupportannarbor.org. If you do not have access to a scanner you can attach clear photos of documentation.

Click here to download the full application. Incomplete applications will not be considered. Baseline application and eligibility criteria include:

– Proof of residence within CSC service area (i.e. – utility bill, driver’s license, Michigan ID or like documentation). The service area includes Washtenaw, Livingston, Western Wayne, Jackson, Lenawee, Monroe, and a portion of Genesee counties.  Click here for a full list of zip codes included in the service area.

– Applicant must be in active cancer treatment as documented by the Certificate of Illness provided in the application materials. Certification of Illness is available online and must be included with the application materials signed by one of the patient’s oncology providers. Qualified professionals include MD, RN, or SW

-Statement of income (at or below 400% of poverty as defined by the current federal poverty level) provided in the application with a signature that swears the contents of the application are true and nothing is falsified.

-Copies of unpaid bills for which assistance is being requested, or documentation for reimbursement (i.e. grocery receipts).

Applications are accepted on a rolling basis. Applicants are able to hold their spot for review when:

– Application is complete and they meet eligibility requirements

– Application is complete with minor errors associated with bill submission AND they meet eligibility requirements.

Applications will not be held in the cue when the application is missing a critical piece, such as the following:

– Certification of illness

– Signature page

– Proof of residency

– Copies of expenses

Applications will be reviewed monthly by a designated review committee. Grants will be provided until designated funds are depleted for the fiscal year.

Applicants can request funding for up to $2,000 per year, per household. Payments will be made directly to the applicant. Checks will be cut and mailed the day directly following the review.

Recipients may be responsible for claiming awards as “household resource income” for calculation of individual property taxes. It is the responsibility of the recipient to make all appropriate claims.