PLEASE NOTE: This application is for families with infants who have a critical medical need. Description of critical need can be found on our website here. If your baby does not have a diagnosis defined by the critical need categories please do not submit this application. NWMMB has a limited amount of Rapid Relief funding which may be available based on availability and diagnosis. More information can be found here.

You may also reach out to us directly at 1-800-204-4444.

Evie's Fund exists because of generous private donations and grant funding. The amount of money available is limited and changes from year to year. Because of this, we will use the information you provide to determine how we can serve you based on our donated milk supply and financial resources. Most families will qualify for just one to two weeks' worth of donor milk at a reduced price.

Click here to learn more about why we charge a processing fee

We may ask for the following documents in addition to your application, but they are not always required:

• Chart notes from a healthcare provider showing the medical need for donor milk and/or a Statement of Medical Need.
• Financial documents, such as paystubs and tax forms, to verify income

Please fill out this form with as much detail as you can. The more information you provide, the better we will be able to serve you. You will have an opportunity to share your story at the end of this form.

If you need assistance filling out this form, we would be happy to help you.

Click here to call Northwest Mothers Milk Bank