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  • Application for Assistance

  • The Vail Valley Charitable Fund (VVCF) provides assistance to individuals who live or work in the Vail Valley who are experiencing financial hardship due to a medical crisis or a long-term illness that impacts the individual’s ability to provide support for himself or his family.

     

    ·To apply for a direct aid grant, applicants must:  1) have worked and/or been physically present in the Vail Valley (between East Vail and Dotsero, including Red Cliff) for a period of at least one year; 2) currently live and/or work full-time in the Vail Valley; and 3) document the financial hardship that is directly due to a medical crisis or long-term illness. 

    ·Applications must be filled out completely and include physician documentations, pay statements, and relevant bills. Incomplete applications will NOT be considered. If a question is not applicable to the applicant’s situation, please write “n/a” in the space provided.  Do not leave it blank.      

    ·Priority is given to individuals with catastrophic health care conditions, long-time locals, those who have taken initial steps to address their financial crisis, those who have insurance, and those who have been involved in their community.

    ·Applicants should be 18 years of age or older.  If a financial crisis is due to the illness or injury of a child, the “applicant” is the child’s parent or legal guardian.

    ·Grant funds may not be used for funerals, burial expenses, or elective procedures.

    ·The VVCF’s maximum direct aid grant is $5,000.

    ·The VVCF may fund all, part, or none of your request. 

    ·The VVCF may, at its sole discretion, choose to pay applicant expenses directly.

    ·The VVCF provides one-time assistance only.  Only in rare circumstances are exceptions made.  If you have received a grant from the VVCF in the past, please contact us before submitting another application. 

    ·Applications are reviewed by the VVCF Board of Directors monthly.  This review typically (though not always) occurs on the first Thursday of each month.

    ·Applications are due the last day of the prior month for consideration. (i.e. submit application by December 31st for review in January).

    Complete this checklist to make sure you have all the necessary information for us to consider your application.

    o You have worked and/or been physically present in the Vail Valley (between East Vail and Dotsero, including Red Cliff) for a period of at least one year.

    o You currently work and/or are physically present in the Vail Valley (between East Vail and Dotsero, including Red Cliff).

    o You have requested a specific dollar amount of need.

    o You have attached paystubs.

    o You have attached physician documentation in an existing dictation or doctor’s note, which verifies your injury or diagnosis, required treatment, and prognosis.  If your injury or illness prevents you from working, your physician should provide an estimated date at which you can return to work and in what capacity.  If your care was provided outside this region, a letter from a local physician who is familiar with your situation is acceptable. 

    o You have attached relevant bills.

    o The VVCF may also request annual tax returns required for documentation on an as-needed basis.

  • Applicant Information

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  • Background Information

    Please use the space below to describe the circumstances leading to your present situation.  Include relevant dates, diagnoses, treatments, description of injuries, prognosis, etc. If your illness or injury has resulted in the loss of wages or employment, please describe. Also describe the impact that your illness or injury has had on your overall family income and ability to meet routine expenses.  Please tell the VVCF how a grant from us will meet your needs. If your financial need surpasses the amount of funds the VVCF can allocate, please share with us your plan for addressing your remaining financial needs.  

  • Employment Information

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  • Health Insurance Information

  • Assets & Income

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  • Debts & Expenses

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  • Household Information

    (Please list the other individuals living in your home.)

  • Medical Expenses

    Even though a VVCF grant is at most $5,000, it is helpful for the VVCF Board to fully understand the extent of the medical debt that you are facing.  Please specify the health care providers that you owe along with the portion of your medical bills that you are personally responsible for.  Please include a photocopy of these bills with your application.(For example, you may be responsible for $500 of a $10,000 emergency room visit and $25 of a $300 office visit.)  Please note, if the VVCF is paying medical bills for you directly, you will be asked to sign a release with those medical providers so that we can call the provider and attempt to arrange a discount. Additionally, if your needs exceed the maximum $5,000 direct aid grant, we do encourage you to apply for an extended grant. That application can be found at vvcf.org.

  • Living Expenses

    If you are requesting help with routine living expenses such as rent, mortgage, utilities, COBRA payment, etc., it is helpful for the VVCF Board to know the amount of your monthly payment, as well as any relevant names, addresses, and account numbers that we might need in order to cover these bills.  Please list them below. 

  • Involvement in the Community

    Please describe how you have been involved in your community and any volunteer work that you do.

  • Attempts to Address Financial Need

    There are many ways that applicants can attempt to address their financial crisis before they contact the VVCF.  Examples include contacting medical providers to request a discount or payment plan; contacting Eagle County Health & Human Services to determine whether you are eligible for Medicaid or CHP+; contacting the State of Colorado if your illness or injury might qualify you for disability insurance; pursuing insurance payouts if your injury is the result of an auto accident; ensuring worker’s compensation paperwork is in place if you were injured at work; contacting your bank/lender to discuss a line of credit on your home; selling an unused vehicle or second home/property; cashing in investments; taking in a roommate for rental income; or taking a loan out against a retirement or life insurance policy. Please describe in detail the efforts you have made to address your financial crisis:
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  • I, affirm that the foregoing is true and accurate. 

  •  By my signature, below, I give my permission for the Vail Valley Charitable Fund, Inc. (VVCF) to contact my employer, persons with whom I may have accounts, and the accounting departments of my medical providers.  I understand that, on my behalf, the VVCF may try to arrange discounts and/or payment plans.  I further understand that the VVCF is not providing legal, tax, or accounting advice or services for me and will assume no legal responsibility or obligation for any of my affairs, liabilities, or accounts.  I also authorize the VVCF to use my name and testimonial that I will provide for promotional purposes should I receive assistance from the VVCF. I also agree to provide a 3-month update to VVCF on the status of my health. My signing this application also grants permission to the VVCF to share information with other local agencies who might already be supporting me or could provide support to me. 

  • Clear

  • Questions may be directed to:

    Brooke Skjonsby, Executive Director

    Vail Valley Charitable Fund

    PO Box 2307

    Edwards, CO 81632

    Phone: 970.524.1480  Fax: 970.524.1489

    www.vvcf.org       brooke@vvcf.org

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