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Click ‘Get Form’ to open the Safeway Companies Employee Association Friends Helping Assistance Application in the editor.
Begin by entering the name of the SCEA member requesting assistance and their Employee ID number. Ensure accuracy as this information is crucial for processing.
Fill in the work location, contact phone number, and email address. This allows for effective communication regarding your application.
Provide your home street address, city, state, and zip code to ensure proper identification and correspondence.
Indicate whether you have received assistance before by checking 'YES' or 'NO'. If yes, specify when assistance was received.
Select the category of assistance needed (Death/Funeral Expenses, Serious Illness/Emergency Medical, Property Damage/Loss) and provide detailed information about your crisis in the designated section.
Clearly explain how this event has created a financial hardship in the Statement of Hardship section. Your explanation should be thorough to support your request.
Sign and date the application at the bottom. If applicable, have an immediate family member or domestic partner sign as well.
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