The Pink Fund Application FAQs
General
No. We always accept applications.
No. To reach the application, please visit: https://pinkfund.org/financial-assistance-pre-qualification/ and answer the pre-qualification questions. If you pre-qualify, you will be able to download and print the application.
No. The Pink Fund’s financial assistance is only for those who live, work, and receive treatment in the United States.
The Pink Fund does not provide emergency assistance. Please see your social worker or patient navigator for help.
The Pink Fund is generally a one-time only assistance program, but if you have been re-diagnosed, or have a recurrence, we may be able to help. Email Grants@ThePinkFund.org
No. All applications and documents must be mailed to us at P.O. Box 607, Southfield, MI 48037
No. For tracking and accuracy, we only correspond through email. We cannot discuss anything regarding your application over the phone.
No. The Pink Fund is not a part of any other organization. You must apply to each separately.
Yes! We can answer any questions you have. Please email Grants@thepinkfund.org. We also have detailed videos available for each page of the application and for each document we require.
The Pink Fund Application Assistance Videos:
> Personal Information Form
> HIPAA Form
> Medical Information Form
> Medical Team Contact Form
> Financial Disclosure Form
> Employer Letter
> Doctor’s Letter
> Tax returns and W-2s
> Bank Statements
> Paycheck Stubs
> Bills
The day we receive your application we will send you an email to explain our process, and give you a timeline for how long it should take to hear back from us.
Patients must be in active treatment and experiencing reduced household working income throughout any funding, so if you are out of treatment, we cannot approve your application, even if you were in treatment when we received your application.
Eligibility Guidelines
Patients or their spouse/partner must be actively working at the time of the breast cancer and are able to show a loss of working income due to patient’s breast cancer diagnosis (e.g., leave of absence, reduced hours, etc.) in order to qualify.
If you have questions regarding your eligibility to receive financial assistance, please email Grants@thepinkfund.org.
Yes. Patients or their spouse/partner must have been working at time of diagnosis and able to show a loss of household working income due to their breast cancer diagnosis.
No. Patients or their spouse/partner must have been actively working at time of diagnosis and able to show a loss of working income due to their breast cancer diagnosis. If you or your spouse/partner were not actively working, you do not qualify.
If you have questions regarding your eligibility to receive financial assistance, please email Grants@thepinkfund.org.
Employment
You can tell them you are applying for a grant, and need a letter stating the change in your employment status/work hours since a specific date (the date of your diagnosis.)
Click here to watch a helpful video on the Employer Letter .
Yes, but you may write the letter yourselves.
Click here to watch a helpful video on the Employer Letter .
Yes. We need a letter from all of the employers you and your spouse/partner had at the time of your diagnosis, stating the last date you worked.
Click here to watch a helpful video on the Employer Letter .
Medical Information
No. Please provide projected start and end dates for treatment, unless you have been diagnosed with stage IV metastatic cancer.
Click here to watch a helpful video on the Medical Information Form.
We understand that treatment plans can change. The Medical Information form should be filled out as completely as possible, with start and end dates for projected treatment.
Click here to watch a helpful video on the Medical Information Form.
We will accept this letter from your Oncologist, Professional Patient Advocate, Nurse Navigator, or Licensed Social Worker.
Click here to watch a helpful video on the Doctor’s Letter .
No. We need both the letter from your doctor and the Medical Information form.
Click here to watch a helpful video on the Doctor’s Letter .
Click here to watch a helpful video on the Medical Information Form .
No. Lab reports and office visit summaries are not an acceptable substitution.
Click here to watch a helpful video on the Doctor’s Letter .
Bills/Financial Information
No. If our Qualifications Committee decides to fund a bill for you, we will write a check to each individual creditor, so we must receive copies of bills with your name, or the name of a listed household member, your current address which matches the address on your application, the account number, the amount due, and the complete mailing address to mail the payment to. If ALL of this information is not included on the bill, we cannot pay it.
Click here to watch a helpful video on Bills.
We cannot accept a printout of an online account if it does not show all of the information we would need to write and mail a check.
Click here to watch a helpful video on Bills .
No. The Pink Fund does not pay medical bills of any kind.
No. The Pink Fund does not pay any credit card bills.
No. The Pink Fund does not pay any personal unsecured loans or student loans.
No. We must receive a complete copy of your last two months of all bank account statements for yourself and your spouse/partner. If you/your spouse/partner do not have a checking account, we will accept two months of complete statements for a pre-paid debit card instead. If you do not have either of these, we cannot approve your application.
Click here to watch a helpful video on Bank Statements .
No. We require a tax return from the most recent tax year (if it is after April 2023, we need to see your 2022 federal tax return; if it is before April 2023 we need to see your 2021 federal tax return).
Click here to watch a helpful video on Tax returns and W-2s .
If you and your spouse/partner cannot provide clear documentation of your household income, we cannot approve your application.
We must receive clear documentation about your household income and how it has changed. If you and your spouse/partner don’t receive paycheck stubs from your own business, we can accept two months of complete business bank accounts with the income highlighted, invoices, receipts, etc.
No. The Pink Fund does not send any money or gift cards to applicants. If our Qualifications Committee decides to fund bills for you, we will write checks and mail them directly to each of your individual creditors.
If our Qualifications Committee decides to fund bills for you, we will write checks and mail them directly to each of your individual creditors.
Click here to watch a helpful video on Bills .
For rent payments include ALL PAGES of your rental agreement/lease and the name and address to which payments can be mailed.
The Pink Fund Application Assistance Videos:
> Personal Information Form
> HIPAA Form
> Medical Information Form
> Medical Team Contact Form
> Financial Disclosure Form
> Employer Letter
> Doctor’s Letter
> Tax returns and W-2s
> Bank Statements
> Paycheck Stubs
> Bills