Please read the following paragraph before completing the Emergency Assistance Grant Application:
1. You must currently be in treatment for breast cancer in the state of Minnesota.
2. This application should take you between 5-10 minutes to complete. You will not have the ability to save and return later.
3. Please have the first and last name, email address and phone number of your Social Worker/Nurse Navigator. They will need to verify treatment before grant application can be approved.
4. Grants are paid directly to the company owed. Please have the name, account number and address of the company owed ready.
5. You will need to upload a document of the bill(s) you wish to be paid. Uploaded documents must be one of the following file types: .doc .docx .jpeg .jpg .png .pdf