Application Process
Cynthia's Breast Cancer
Giving Circle, Inc.

Finanical Assistance Program:

2019 applications will be available
June 1 - November 15.





           



501(c)(3) Non-profit Organization (Public Charity)
Step 1

Please read the Financial Assistance Application cover page 1 & 2, which provides instructions and resources.  Complete and return pages 3 & 4 the general information section along with providing copies of all required documents (i.e., current monthly income; monthly statement or bill of services needed). 

Step 2 (Optional - Not Required)

Complete and return page 5 the Personal Statement, which helps us get acquainted and better understand your need for assistance.  In addition, please complete the Publicity Release at the bottom of the page, as well.

Step 3

Complete page 6 and provide the Medical Record Release and Authorization form to your doctorThis authorization gives CBCGC, Inc. permission to obtain information from your doctor pertaining to your cancer treatment ONLY (see Page 7). Submit one copy of this form with the application.

Step 4

Last, have your doctor complete Page 7, the Physician's Statement and return along with all required documents outlined above to our officeas soon as possible to:

CBCGC, Inc.
Attn: Review Committee
PO Box 76083
Milwaukee WI  53216.
Review Process:

Once the application has been returned our Review Committee will conduct a full analysis of the application.  Typically, the review process will take approximately
3 - 4 weeks and each applicant will be notified by mail.  All grant awards will be distributed prior to December 31 each year and payment will be made to the creditor (f/b/o recipient). 

Note: We allot 5 business days to obtain missing information from the application.

Record retention is 7 yrs. from the date the application is received.

Anti-Discrimination Policy - click on pdf below.


"A good exercise for the heart is to bend down and help another up."  ~Unknown
"A good exercise for the heart is to bend down and help another up."  ~Unknown
Love & Support
Strength & Courage
"It is more blessed to give than to receive."                                                  ~Acts 20:35


Cynthia's Breast Cancer
Giving Circle, Inc.

501(c)(3) Non-profit Organization (Public Charity)
Love & Support
"It is more blessed to give than to receive."                                                  ~Acts 20:35
Strength & Courage
"A good exercise for the heart is to bend down and help another up."  ~Unknown