Funds for Families COVID-19 Relief Program

The application period to apply for a financial grant through Tigerlily Foundation’s Funds for Families Covid-19 Relief Program is now closed through 2021 year-end. Please check back in 2022 for more information about the next open application period. We do not have additional information at this time, but it will be posted when the application period re-opens. Thank you for your understanding. 

• To be eligible and in line with our mission statement, the breast cancer patient must be 45 years old or younger at time of diagnosis.
• Financial assistance is limited to a one-time grant of between $250 to $500 per applicant.
• Funding is limited, therefore, not guaranteed.
• It may take up to 21 days to process and approve your application.
• Tigerlily works diligently to meet as many requests as possible.

TO APPLY:

For your convenience, we offer on-line program application forms. Please see below on how to apply. 

On-Line Program Application Option: 

Step 1: 

Applicants must complete the on-line Program Application form via this link here.   

Step 2: 

Upload the completed Physician Form from your doctor’s office or fax it to 703-663-9844. Your doctor’s office may fax this directly to us. 

Step 3:   

Upload a copy of the Pathology Report or Doctor’s Note or fax copies to 703-663-9844. Your doctor’s office may fax this directly to us. 

Printed Program Application Option to be Mailed or Faxed: 

Step 1: 

Persons may download the Program Application Form here. Applicant must read and agree to Tigerlily Foundation’s Applicant’s Statement of Understanding, Agreement/Release of Liability and HIPPA Form. These are a part of the Programs Application Form. 

Step 2: 
Persons must download the Physician’s Form here. 

Step 3: 
Return both the completed Program Application Form and Physician’s Form, along with a copy of the pathology report or doctor’s letter to Tigerlily Foundation. 

For the protection of your confidential information, please mail or fax the forms to: 

Tigerlily Foundation 
Attn: Funds for Families 
42020 Village Center Plaza 
Suite 120-156 
Stone Ridge, VA 20105 

Fax: 703-663-9844 

Mailing forms may delay the processing of the application process. 

You may contact info@tigerlilyfoundation.org with any questions.