Request Financial Assistance

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Survive First is honored to be able to help our first responders in need.  Our Treatment Assistance Fund assists first responders who are in need of mental health treatment, but unable to access it due to financial hardship.  Applications must be submitted prior to entering treatment.  Once your application is received, it will be submitted to our selection committee for consideration for approval.  No personal identifying information will be shared with the committee. 
To ensure the most timely decision, please ensure that you have completed all fields on the application. This includes a detailed monthly income/expense report within the application.  All applicants are required to submit complete bank statements for the most recent three months.  All personal identifying identifying information will be kept strictly confidential.
Who is eligible?  All current, former, and retired first responders are eligible to apply.  Immediate family members are eligible to apply when need is in direct relation to first responder line of duty.  Immediate family members include spouses and children of first responders. First responders include law enforcement (local, state, federal), fire fighters, emergency medical services / paramedics, dispatch, corrections officers, game wardens / animal protection police.
**As we receive many applications for funding, specific and detailed information regarding the impact your career has had on your mental health, your decision to receive help as well as your financial hardship must be provided before your application is submitted to our selection committee to ensure they are able to make a well-informed decision.  Applications that do not include this information will not be approved.
Thank you again for reaching out to Survive First