The Fund is accepting applications as of July 14. To apply, please download the application below, which is posted in Adobe Acrobat. (Acrobat is available for free download here.) Your doctor or social worker can help you fill out the application.

When it is complete, email the completed application to application@bmcf.net or fax it toll-free to (800) 878-9184. If you have any questions about applying, please email us here.

Qualifications For Assistance

  • You must be between the age of 18-40 at the time of application.
  • You must currently be in treatment for cancer at the time of application.
  • You must provide a letter from your doctor explaining the type of treatment you are currently receiving and how long you have been in treatment.
  • You will need to provide a copy of a bill, receipt, mortgage statement, lease agreement, or documentation of request.

 


Application in Acrobat

Alternate Resources

Goal Fulfillment:

Cameron Siemers Foundation for Hope

A Life Grant is a $5,000 award to be used in the fulfillment of a dream, goal, or project that you take on to make a difference in your life and the lives of others.

877-774-7768
www.cameronsiemers.org

 

Financial Assistance:

Ovarian Cancer Patient Charity Project

Provides assistance to gynecological and breast cancer patients for utilities, treatment, medications and more.

540-357-1054
ovariancancerpatientcharityproject.yolasite.com

General Needs:

American Cancer Society
800-ACS-2345
www.cancer.org

Cancer Care
800-813-HOPE
www.cancercare.org

Kommah Seray Inflammatory Breast Cancer Foundation
626-858-8326
www.ksibcf.org

 

National Cancer Institute
800-4CANCER
www.cancer.gov

Catholic Charities
www.catholiccharities.org

United Way
www.national.unitedway.org

 

Medication Co-Pays:

Patient Advocate Foundation
866-512-3861
www.copays.org

 

 

Partnership for Prescription Assistance
888-477-2669
www.pparx.org

Home Care:

In Home Supportive Services
888-944-4477

Cleaning for a Reason: free housecleaning for women undergoing chemo
www.cleaningforareason.org

 

Utilities:

National Energy Assistance Referral
866-674-6327

Caregivers:

Paid Family Leave Insurance
877-BE-THERE
www.edd.ca.gov

 

Seniors:

US Administration on Aging
800-677-1116
www.eldercare.gov

 

Public Assistance:

U.S. Dept. of Health and Human Services
877-696-6775
www.os.dhhs.gov

Health Insurance Resource
www.healthinsuranceinfo.net

Other:

Medi-Cal
800-541-5555
www.medi-cal.ca.gov

Social Security Disability
800-772-1213
www.ssa.gov

California State Disability
800-480-3287