Application For Financial Assistance For Death Benefits

App for Death Benefits

The Do More Foundation exists to assist families with financial needs as a result of the death or illness of a child.
  • Mother's Personal Information

  • Please enter a value between 1 and 25.
  • Father's Personal Information

  • Please enter a value between 1 and 15.
  • Funeral Home Information

  • As a part of our application process, we request that each family have the funeral home complete a short questionnaire. This form can be found at https://www.thedomorefoundation.org/forms/ and is titled "Funeral Home Information Form. Please download the form, fill out all information, and upload the form along with your application for financial assistance.
  • Income Information

  • As a part of our funding process, we are required to verify income for all applicants. Please attach a copy of the first page of the most current 1040 federal tax return form and/or SSI as well as SSDI statements. Be sure to include the entire gross annual household income from all sources combined. For each subsequent request, forms must be updated and re-certified.
    Drop files here or
  • Application Agreement

    I hereby apply for assistance from The Do More Foundation to assist with expenses related to the funeral, burial or cremation of my child. I attest that the information contained in this application is true and accurate. I authorize The Do More Foundation to obtain information from our funeral home pertinent to the application and grant request. I understand that any information that is falsely submitted will disqualify me from receiving financial assistance from The Do More Foundation.
  • Media Release

    I hereby authorize The Do More Foundation, Inc. to use my photographs, letters or information in publications or on the Internet. I understand that these items will be used to educate the public about The Do More Foundation, Inc. and its services. I further understand that our last name will not be used in any material. The consents, terms and conditions of this agreement shall continue in effect beyond the date it is signed.
  • This field is for validation purposes and should be left unchanged.