Emergency Need Grant Request

The purpose of the Emergency Need Grant Program is to provide financial assistance for immediate and extraordinary needs of foster youth that are not funded by IV-E, CSA or Medicaid.

Emergency funding is allocated up to $300 per youth, per year. Requests in excess of $300 may be considered, but will require thorough justification of grave need.

If you would like to apply for emergency need funding, please complete the form below and we will contact you regarding the request. Thank you!

Emergency Need Request

Tidewater Friends of Foster Care provides financial assistance for immediate and extraordinary needs of foster youth that are not funded by IV-E, CSA or Medicaid. Emergency needs must be necessities essential for the child’s welfare and are funded on a first-come, first-serve basis within TFFC’s annual Contingency budget. The request will only be considered after a comprehensive search and denial from alternate sources. Submission of this form does not guarantee approval of funding and TFFC reserves the right to deny any emergency needs requests. Emergency funding is allocated up to $300 per youth, per year. Requests in excess of $300 may be considered, but will require thorough justification of grave need.

Email of Person Completing the Form*
Foster Youth's Name*
First Last
Youth's Date of Birth*
Emergency Need*
Funds Requested*
Reason for Request
Other Funding Sources Explored*
Contact for Payment*
First Last
Contact's Phone*
Contact's Email*
Contract's Address (if required for payment)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Receipts or Substantiating Documents
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 40 MB.
Please upload any associated receipts or substantiating documents.
Other Relevant Information
Social Worker's Name*
First Last
Agency*
Social Worker's Phone*
Social Worker's Email*
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Name
This field is for validation purposes and should be left unchanged.

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Emergency Need Grant Request

Emergency Need Request

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