Requests for financial assistance
TO SUBMIT A REQUEST
An electronic submission is strongly recommended for the efficient processing of the request.
- Please download the form, valid for both paper and electronic requests
- Once the form is completed, save the modified document before closing the window and return it by email to firstname.lastname@example.org.
Before submitting your request, please read the following information:
- Please ensure that the information in the form is complete.
- Every request must be approved by the Chef de service if the user(s) receive(s) ID/ASD services from the center. If the person is not a user of these services, this approval is not required.
- An acceptance of a request does not mean that it will automatically be accepted again in the future by the Foundation.
- The recipients may be asked by the Foundation to provide a follow up report in order to encourage them to share their experiences, results and pictures of the project.
- Do not hesitate to contact us for any question or assistance at 819 933-6033 | email@example.com.