TNF Disaster Relief Fund Application

TNF Disaster Relief Fund Application
Disaster funding will be distributed to registered nurses who hold an active RN license in the state of Tennessee. The Tennessee Nurses Foundation (TNF) will review applications and determine who receives assistance based on a sliding scale of needs.

Before you begin, at least three (3) photos of the damage detailed in your application are required to be uploaded with this application. Scroll to the end of this application for the Upload Section.

Please complete this form in its entirety.
Name*

First NameLast Name
Permanent Address*

Permanent Street Address

Street Address Line 2

Permanent CityPermanent State

Permanent Zip Code
County of Permanent Residence*
County of Permanent Residence
Tennessee RN License Number*
TN RN License Number--must be active
Email Address*
Daytime Phone Number*

Area CodePhone Number
Date that damage occurred*

MonthDayYear
Date
Please tell us about your need*

Loss of ResidenceTemporary Loss of IncomeLoss of VehicleDamaged ResidenceDamaged VehicleOther, describe below
If you choose Other, briefly describe your need.

0/30
Payment will be made by check. Where would you like us to send the funds?*

Above AddressAlternate Address (provide the address below)
Alternate Address for receiving funds

Alternate Street Address

Alternate Street Address Line 2

Alternate CityAlternate State

Alternate Zip Code
Please provide a brief statement on how you were affected by the tornadoes/storms and how the assistance will be used.*

0/175
UPLOAD SECTION
Upload at least three (3) photos of the damage detailed in this application.*

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Tennessee Nurses Foundation
545 Mainstream Drive, Suite 401
Nashville, TN 37228-1296
Phone: 615-254-0350 ext. 3

Questions: Contact Kathryn Denton at 615-254-0350 Ext. 3 or email TNF@TNurses.Care
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