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  • 2025 Housing Assistance Application
  • OUR MISSION: To financially and resourcefully support Arizona families who endure financial hardship while experiencing hospitalization due to extended illness or injury of their child. The Care Fund provides mortgage or rent assistance during a child's extended health crisis.
  • Important Notes: Completed applications & supporting documents are accepted via online submission.  If needed, email required documents to info@thecarefund.org. All information provided is subject to review and verification. It is critical that all information is completed accurately and in deail.  
     
    Medical Certification must be provided by Doctor or Social Worker from hospital. This will be verified before a submitted application will be considered.  Completed form will be accepted through online submission.   For questions, please contact the Care Fund office by email at info@thecarefund.org. 
     
    For approved applicants, the Care Fund does not expect repayment in any form. Payment for approved applications will be submitted directly to the mortgage lender or the landlord/lessor.
     
  •  Care Fund Contact Information: Address: 4800 N Scottsdale Rd, Suite 6000, Scottsdale, AZ 85251 Phone: 480.305.8611 Web: www.thecarefund.org  Facebook: www.facebook.com/CareFundOrg
     
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  • FAMILY & MEDICAL INFORMATION
  • 0/1500
  • 0/1500
  • 0/1500
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  • PERSONAL INFORMATION
  • Parent/Guardian #1
  • Parent/Guardian #2




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  • EMPLOYMENT & INCOME INFORMATION 
     
  • Parent/Guardian #1
     
  • Parent/Guardian #2
  • *Please provide a copy of your current or most recent 2 pay stubs for anyone working in the home over 18.*
     
  • If employed in current or most recent position for less than 2 years or if currently employed in more than one position, please complete the following:
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  • ADDITIONAL SOURCES OF HOUSEHOLD INCOME
  • Please indicate the amount and frequency of additional income received below by parent(s) or other family members presently living with you. 
     
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  • HOUSEHOLD OBLIGATIONS & LIABILITIES
  • Please list the monthly payment for all household obligations and liabilities below.
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  • HOUSING EXPENSE INFORMATION
  • Please include a copy of your most recent mortgage statement, verifying your account number, property address and mortgage payment OR a copy of your current lease agreement (all pages) and complete all landlord contact information below.  *Please note that for approved applications, payment will be submitted directly to the mortgage lender or the landlord/lessor. Payments must be mailed. No automatic deposits.
     
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  •  If your have not lived in your current residence for more than 2 years, please also provide prior mortgage payment and name of mortgage lender OR prior lease agreement and property contact information. 
  • HOUSING EXPENSE AUTHORIZATION
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  • ASSETS
  • 0/1500
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  • APPLICATION AUTHORIZATION
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  • By selecting "I AUTHORIZE/WE AUTHORIZE" below, I/We affirm and agree that: I/We have read the guidelines and understand them. I/We attest this information is true to the best of my/our ability. I/We authorize my/our child"s medical care provider to discuss my/our child"s medical information pertinent to this case with the Care Fund or their designated representatives. I/We understand that if approved for assistance, the Care Fund does not expect repayment in any form. I/We grant permission to the Care Fund to obtain and verify all necessary information in order to process this application. This information includes, but is not limited to, my/our past and present consumer credit record, mortgage or rental record, income or employment, expenses, dependents, etc. I/We understand that if approved for assistance, mortgage or rental payments may be made on our behalf directly to the mortgage lender or landlord/lessor via check.  No automatic payments are allowed.
     
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  • RELEASE
  • The Care Fund hopes to help as many families in our community as possible. By sharing your story, we will be able to expand our reach within our community. We promise to share your story with the highest integrity, with your permission only.  We may request photos, testimonials and/or appearances.
     
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  • IF AUTHORIZING THE RELEASE, PLEASE COMPLETE BOTH SECTIONS BELOW:
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  • APPLICATION CHECKLIST
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  • WHAT'S NEXT?
     
  • Our team will begin to review and verify the information provided in your application as soon as we receive the following: - Completed application, with all pertinent information provided. We will contact you if any information appears to be missing, as it may impact or delay our decision making process. Providing the requested information in a timely fashion will help to expedite our process. - Please send supporting documents by online application or email. - Medical certification submitted or provided by your child's medical provider or hospital social worker. Please make sure you have provided accurate contact information for your child's Doctor or social worker, so that we may send the certification to them. - Most recent paystubs for any income sources. - Most recent mortgage statement or lease agreement provided, with all pages.  
    - Most recent bank statements for all accounts noted on application. If transfers are reflected on the bank statement, those accounts must be provided as well.
     
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  • Our review process consists of the following steps: - Verification of all information provided in your application. This may be done verbally or in writing. This may include, but is not limited to: employment and/or income verification, mortgage or rent verification, past and present consumer credit record, etc.  - Verification of eligibility based on our current giving guidelines. Guidelines can be found at www.thecarefund.org - Verification of medical certification. This may be done verbally or in writing.  - Once all verifications are complete, our review committee will meet to determine whether assistance will be provided and approved.  - Approval of an application is made at the sole discretion of the Care Fund. Approval is made on a case-by-case basis, based on available funds.  - You will be contacted by a member of our team, to inform you of the review committee determination. If you are awarded assistance, they will also review the parameters and time frame with you.
     
  •  THANK YOU! - From the team at the Care Fund 
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