Zip-IT for FUNDS Foundation

Assisting Families in Need of Medical/Financial  Assistance

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Family of Multiples
More for FOM

Zip-IT for Families of Multiples is a program that helps families of multiples (twins, triplets, etc.)  in need of medical/financial assistance. Families of Multiples will be referred to as (FOM) at times. Select the "More for FOM" link for more detailed information on this program.

Key Benefits                    Application Form 

bulletFamilies receive financial help for medical bills for their children
bulletThe medical entity is paid on behalf of the applicant
bulletThe family receives a tax relief due to the medical entity being paid which is not counted as additional income

Program Requirements

All applicant's must complete the Family application form and submit the following information:

bulletAll applicant's must complete the Family application form and submit the following information:
bulletApplicant must sign and return Authorization Release Form
bulletApplicant must show proof of a real need for assistance
bulletApplicant must provide proof of income (last W2, 1099, or prior year tax return)
bulletApplicant must list tax bracket of year prior to application
bulletApplicant must list and show proof of insurance coverage for child (Medicare, Peach care, etc.)
bulletApplicant must list and show other sources of income (e.g. child support, income from other agencies, etc.)

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Copyright © 2006 Zip-It for FUNDS Foundation
Last modified: October 05, 2009