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Help hope live fund request form 2025

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The document is a Transplant Fund Request Form used to request funds from HelpHOPELive for medically-related expenses. It outlines guidelines for submitting requests, including the need for written requests with itemized expenses, backup receipts, and specific mailing instructions. Additionally, it includes a Travel Expense Log for documenting transportation costs related to medical visits and a Per Diem log for food reimbursement during temporary relocation for transplant procedures.

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Click ‘Get Form’ to open the Help Hope Live Fund Request Form in our editor.
Begin by entering the date at the top of the form. Next, fill in the Patient/Campaign Name and your contact information, including your name, address, phone number, and email.
Specify the amount requested and who it should be payable to. Ensure you provide a detailed breakdown of expenses by category such as Medical, Medications, Insurance, Travel/Mileage, Relocation/Lodging, and Other. Indicate whether you have receipts for each category.
In the Explanation/Comments section, add any necessary details that may support your request. This is optional but can be helpful.
Review all entries for accuracy before saving your completed form. Once finalized, download or print it directly from our platform for submission.

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Versions	Form popularity	Fillable & printable
2013	4.9 Satisfied (263 Votes)

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Is Lifes Hope legit?

Lifes Hope Inc is a 501(c)(3) public charity, EIN 26-2994924. Donations are tax-deductible. Select content is provided by GuideStar.

Is Help Hope Live legit?

Rating Information. This charitys score is 99%, earning it a Four-Star rating.

Is where hope lives legitimate?

Where Hope Lives is home to the largest human trafficking rescue and recovery operation in North America. We are located at the Phoenix Dream Center (ages 18+), StreetLightUSA (ages 13-17), and Colorado City Dream Center (familial trafficking survivors).

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