STRIPE PROGRAM

The E.WE Foundation is committed to providing resources and support to community members in need. Understanding the financial burden associated with caring for an individual with medical complexities and specialized health needs, families facing economic hardship due to Trisomy 18 can request assistance by submitting this form. Please answer ALL questions truthfully.

Please be advised that submitting this form is not a guarantee of approval or assistance. Anyone previously assisted must wait six (6) months before submitting another request.

To apply for financial assistance, submit the form below. Email the required documents to stripe@theewefoundation.org within 14 days of your submission. If you need help completing the application, please contact us. All inquiries are confidential.

STRIPE Financial Assistance Request

Demographics

If NO, stop here. Submit your request using our Contact Us form.

Socioeconomics

Healthcare Coverage

A member of The E.WE Foundation’s Account Services team will contact you once your submission is reviewed. Please email additional questions or concerns to stripe@theewefoundation.org.

Your privacy is a our priority. The E.WE Foundation will never share your information without your consent. Please email admin@theewefoundation.org with questions about this form. Review our privacy policy here.