Trusted Choice Relief Fund

The Fund was created to provide the insurance industry, including IIABA staff, members, their agency employees, and others, with a vehicle to make financial contributions to aid independent insurance agencies and brokerages and their owners and employees with immediate or ongoing financial needs when other funding sources (such as insurance, grants, or federal or state loan programs) are not available, and to support other recognized tax-exempt organizations providing such relief and assistance to independent insurance agencies and brokerages and their owners and employees to fill the gap until other funding sources can be accessed. The types of expenses the Fund will cover are listed under the Use of Funds section of these Guidelines. To make a donation to the Fund, simply click here to be brought to an online donation form. If you wish to apply for a grant from the Fund, complete the form below.

By submitting this form, I agree that the Fund is authorized to acknowledge any grant to me in press releases, publications or social media, to transmit any grant it approves for me to the appropriate IIABA state association, if applicable, for delivery to me, and as part of its due diligence, to share my information with IIABA state associations and /or relief organizations. I also certify, under penalty of perjury, that: i) all information in this Application Form is true and correct; ii) I will notify the Trusted Choice® Relief Fund in writing of any material changes to the application prior to receiving any grant from the Trusted Choice® Relief Fund; and iii) if the application is on behalf of a business, I am authorized by the business to complete and submit it.