Edit, Download, and Sign the MAPCO My Helping Hands Employee Care Fund Application

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How do I fill this out?

To fill out this application, start by providing your personal and employment information accurately. Carefully read each section and check the qualifying criteria that applies to your situation. Ensure that all required documentation is attached before submission.

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How to fill out the MAPCO My Helping Hands Employee Care Fund Application?

  1. 1

    Review the eligibility criteria before starting the application.

  2. 2

    Fill in your personal and employment information in the designated sections.

  3. 3

    Select the qualifying situation that best describes your hardship.

  4. 4

    Attach the necessary documentation to support your application.

  5. 5

    Submit the completed application using the provided submission methods.

Who needs the MAPCO My Helping Hands Employee Care Fund Application?

  1. 1

    Employees affected by a natural disaster who need financial support.

  2. 2

    Individuals facing a life-threatening illness requiring help with living expenses.

  3. 3

    Dependents of deceased employees seeking assistance for burial costs.

  4. 4

    Those impacted by extreme circumstances such as theft or domestic abuse.

  5. 5

    Employees on leave who are still eligible for assistance during their hardship.

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What are the instructions for submitting this form?

Submit this completed application via mail to The MAPCO 'My Helping Hands' Fund at 3833 Cleghorn Avenue, Suite 400, Nashville, TN 37215. Alternatively, you may fax your application to 615-327-2746 or contact us by phone at 615-321-4939 for any inquiries regarding your submission. Ensure that you attach all necessary documentation to avoid delays in processing your request.

What are the important dates for this form in 2024 and 2025?

Important dates for this application will be communicated directly to employees via internal announcements. Stay connected for updates regarding application openings and deadlines in 2024 and 2025.

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What is the purpose of this form?

The purpose of this form is to provide financial assistance to MAPCO employees facing challenging life situations. Through this application, eligible individuals can access grants to help cover basic living expenses after experiencing a qualifying event. The ultimate goal is to support employees in maintaining stability during tough times.

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Tell me about this form and its components and fields line-by-line.

This application consists of multiple fields requiring detailed personal and employment information.
fields
  • 1. Applicant Name: The full name of the employee applying for assistance.
  • 2. Permanent Address: The main address where the employee resides.
  • 3. Current Mailing Address: If different, the address to which correspondence should be sent.
  • 4. Employment Information: Details regarding the employee's job title, location, and date of hire.
  • 5. Incident Details: Information about the incident that caused the financial hardship.
  • 6. Financial Impact: Details assessing the economic effect of the incident on the employee.
  • 7. Vendor Information: Details of vendors to whom assistance funds will be paid directly.

What happens if I fail to submit this form?

If you fail to submit this form, you will miss the opportunity to receive financial assistance during your hardship. The consequences could mean continued financial strain or difficulty in managing essential living expenses. It's essential to ensure that all sections are completed accurately to avoid delays.

  • Incomplete Application: Missing information or documentation may result in application denial.
  • Eligibility Issues: Failure to meet eligibility criteria or deadlines could disqualify you from receiving assistance.
  • Delayed Responses: Incomplete applications may lead to delays in processing and response time.

How do I know when to use this form?

Use this form when you encounter a significant life event that affects your financial stability as an employee of MAPCO. It is specifically designed for those needing immediate assistance with living expenses due to qualifying hardships. This includes temporary financial difficulties as a result of natural disasters, health crises, or other extreme circumstances.
fields
  • 1. Natural Disasters: Use this form if you have suffered damage to your home or property due to a natural disaster.
  • 2. Medical Emergencies: File this application if you or a dependent faces substantial medical expenses.
  • 3. Sudden Loss of Income: When facing unexpected financial burdens, this form provides a route to assistance.
  • 4. Death of a Family Member: Use this to address the financial effects following the death of a spouse or dependent.
  • 5. Extreme Financial Hardship: If you face difficulties due to unforeseeable circumstances beyond your control.

Frequently Asked Questions

Who is eligible to apply for assistance?

All MAPCO employees regularly scheduled to work at least 20 hours per week for at least 90 days are eligible.

What types of situations qualify for assistance?

You can qualify under categories like natural disasters, life-threatening illnesses, death incidents, or catastrophic circumstances.

How much funding can I receive?

The maximum grant amount available is $1,000, but smaller sums may be awarded based on need.

How are grants disbursed?

All payments are made directly to the vendors listed in your application, not sent to applicants.

What documents should I include with my application?

You should attach relevant documentation, such as a paystub, incident details, and any necessary medical or financial records.

How will I know if my application has been approved?

You will receive approval notification by mail, so provide a valid mailing address.

Can I request assistance multiple times?

No, you can only receive assistance once within a 12-month period.

What if I need help filling out the application?

Community Foundation staff is available to assist all applicants, call 615-321-4939 for help.

Is there a deadline for submitting applications?

The application should be submitted as soon as possible after the qualifying incident, ideally within 60 days.

What should I do if my financial situation changes?

If your situation changes significantly, you may re-evaluate your eligibility and apply again if necessary.

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