Comfort Fund Grant Application

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2026: The Comfort Fund criteria has been updated and contains new information. Please read the criteria before submitting this application.

Please note that the Comfort Fund is a 'Once Off' payment for a patient receiving treatment for cancer at the time of application.

Comfort Fund applications will only be accepted when filled out completely by a Health Care Professional (HCP)
Is this application being submitted by a patient?*
This application must be completed by a Health Care Professional.
Has this patient ever received a Marie Keating Foundation comfort fund payment before?*
Patient does not meet the fund criteria as this is a ‘Once Off’ payment
Is this patient currently receiving treatment for their cancer diagnosis?*
Patient does not meet the fund criteria.
If applying for travel costs, has an application to the travel to care scheme already been successful or is a decision awaiting?*
Patient does not meet the fund criteria.
Attach receipts/invoices/bills that are within the last 3 months to support this application. They must be legible, have clear detail that links them to the patient and they should match at least the amount that is being requested. Do not attach bank, credit card, loan, mortgage or rent statements.

Cancelof
Have you applying to pay a bank or loan statement?*
Patient does not meet the fund criteria.
Are you applying for mortgage or rent payments?*
Patient does not meet the fund criteria.
Are the attached receipts/invoices/bills within the last 3 months
The attachments do not meet the fund criteria.
YesNo
This does not meet the fund criteria.
Please give detail in the additional information section why attached receipts/invoices/bills are not at least to the amount being requested.
Patient Name

First NameLast Name
Patient DOB:*
Please submit Date of Birth in DD/MM/YYYY formatFormat: 00/00/0000.
Patient Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Patient Email
If a patient does not have an email address, please include the email of family member/associated email for your patient, with their consent. Applications with HCP/MSW information listed in this field will be rejected
Patient Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Patient Landline Number (if applicable)
Please enter a valid phone number.Format: (00) 000-0000.

I have received consent from the patient to submit this application. I understand from the information they have provided to me that they meet the Comfort Fund criteria. I acknowledge that submission of this application does not guarantee payment of a comfort fund.
Amount Requested*
Please be aware that amounts approved are based on, the patient’s needs as outlined in this application and a limited budget that is available for the Comfort Fund.
Additional information in support of this application is mandatory. Please provide specific details of financial needs for the last three months in this section.*

0/300
I confirm that the expenses/bills have been validated by the HCP and all expenses provided are current:
HCP Signature

Clear
Date

DayMonthYear
Date

Payment information:
Please provide details to pay directly into bank account:
Account Name:*
IBAN*

PLEASE ensure the correct numbers and letters are submitted to avoid a delay in the processing of this application.0/22
BIC*

BIC should be 8 characters unless the account is with PTSB. PLEASE ensure the correct numbers and letters are submitted to avoid a delay in the processing of this application.0/11
In exceptional cases where a bank payment is not possible*
*By ticking the box above, the HCP completing this form consents to being contacted by an MKF team member to make alternative payment arrangements for your applicant
Amount Awarded
Date Approved
Reference Number
Should be Empty:

Details of the Health Care Professional completing this application:

Payment information: