If you are unable to pay your bills due to your cancer, please download our aid application. The application is available as either a Word document or as a PDF document. Click on the link below to download the format you prefer.
Aid Application as a Word document
Aid Application as a PDF document
Make sure it is complete with your last income tax statement and a letter from your doctor stating your current condition. Be very accurate and complete with all sources of income as well as all your expenses.Please print neatly.
After review of your application we will call and interview you and then make a decision as to how we are going to help. We help in blocks of three months and evaluate at the end of each three months. Our goal is to take away some of your financial worries so you can focus on getting better.
We want to offer you hope and support while you battle your cancer. Please use the form below to attach your application or send in your application today to the address listed below.
OR Send your completed application to:
Vickie's Angel Foundation
P.O. Box 174
New Cumberland, PA 17070