Instructions for Completing the Monetary Request Application

1. Please complete all required fields. Incomplete applications will not be considered. 

2. ​There must be sufficient justification for the request. Include other organizations you have applied to for funding and the amount received or denied. Please include any additional information on the Application.

3. Both the Professional and their supervisor’s name and phone number must be on the Application.

4. ​When talking with your client, please gather information on all adult members of the household (HH) and the total HH income situation. We compare the HH information to the Federal Poverty Tables as a guide in determining financial eligibility. If you have access to DSS eligibility information or other data sources, please verify your information.

5. ​When requesting items or tangible items, it is necessary for the Professional to get bids and quotes from at least two vendors. Remind them to give you a breakdown of cost, delivery, etc. We only buy new items when no used are available. Invoices must accompany Applications. If a request for a third party payment is approved, the Professional will be responsible for making arrangements as needed.

6. Documentation of the expense must be in the consumers name. 

   1. For rent, the lease must be in the consumers name.  Please list the eviction date if applicable.

   2. For utilities, the service must be in the consumers name.  Please list the disconnect date if applicable.

   3. For vehicles, the vehicle must be in the consumers name. 

7. ​If you are requesting funds for medications, we need the name of the medication, the condition it will treat and the cost of each medication. If your client is between the ages of 18-49, please indicate if they are receiving Medicaid and if they are covered by health insurance. Be sure to check with Med-Assist to see if your client is eligible for services before submitting an Application to Good Friends. Good Friends of the First State reserves the right to approve or decline an Application based on its own sound discretion and judgment.​

8. Applications will be reviewed and responded to in the order that they are received.  Applications are only valid for 21 days; if you have not provided all of the required information in that timeframe, your application will be voided, you will need to submit a new application, and you will go to the end of the queue.

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Prior to submitting an application, please send an email to us if you have any questions: goodfriendsdistributions@gmail.com