Responder Relief Fund

Apply for Immediate Assistance

Easily access essential financial support tailored for first responders experiencing crisis or hardship.

(888) 346-9904

Sustaining Those Who Serve

Dear Applicant,

The Responder Relief Fund extends its profound gratitude for your service as a first responder. To ensure the equitable and judicious distribution of financial resources to those in genuine need, the following eligibility criteria and documentation requirements have been established.

All applications will be assessed in strict confidence and in accordance with our fiduciary responsibilities.

Strictly Confidential
Processed within 10-15 business days
HIPAA Compliant

I. Eligibility Criteria

Who Qualifies for Aid

1. Professional Status Verification

  • Municipal, state, or federal fire service personnel
  • Sworn law enforcement officers
  • Licensed emergency medical technicians (EMTs) or paramedics
  • Active disaster response personnel (e.g., FEMA, Red Cross deployed staff)

2. Financial Hardship Demonstration

  • Disaster-related property loss or damage
  • Temporary or permanent service-related disability
  • Loss of primary residence due to catastrophic events
  • Medical emergencies resulting in uninsured expenses
  • Essential living expenses jeopardized due to emergency deployment

Temporal Parameters: Incidents giving rise to financial need must have occurred within six (6) months of application submission. Applicants may not receive duplicate funding for the same incident from multiple sources.

II. Required Documentation

What to Prepare

Please combine all documents into a single file before uploading.

Primary Verification (provide one)

  • Current departmental identification card
  • Official service verification letter on agency letterhead
  • Recent pay stub showing agency affiliation

Secondary Verification (provide one)

  • Professional license or certification (e.g., EMT license, firefighter certification)
  • Deployment orders for disaster response personnel
  • Union membership documentation

Financial Hardship Documentation

  • Insurance claim denial letter or FEMA application documentation
  • Repair estimates from licensed contractors or photographic evidence of damages
  • Itemized medical bills or Explanation of Benefits (EOB) statements
  • Eviction or foreclosure notices, utility shut-off warnings
  • Recent bank statements (redacted for account numbers)

Additional Requirements

  • Completed W-9 form for tax reporting purposes
  • Signed authorization for verification of submitted documents
  • Personal statement detailing circumstances (500 words maximum)

Applicant Information

Submit Your Application

All submissions are handled with strict privacy and respect for your service.

Maximum 500 words.

Please combine all documents into a single file (PDF preferred).

By submitting this form, you agree to our Privacy Policy. All information is kept strictly confidential in accordance with HIPAA and applicable state privacy laws.

III. Application Protocol

What Happens Next

Submission

All applications are submitted through our secure online portal to ensure confidentiality.

Review

Complete applications will be processed within 10-15 business days. Incomplete submissions will be returned with deficiency notices.

Appeals

Denied applications may be reconsidered upon provision of additional documentation within thirty (30) days of determination.

IV. Confidentiality Assurance

Your Privacy Is Protected

The Responder Relief Fund maintains strict confidentiality in accordance with HIPAA and applicable state privacy laws. All documentation is stored in encrypted systems accessible only to authorized review committee members.

We recognize the sensitive nature of financial assistance requests and assure you that every application receives compassionate yet rigorous evaluation based on established criteria.

Need technical assistance with the application process?

(888) 346-9904

Respectfully yours, Ernest Gratz - Secretary, Board of Trustees