MAPCO My Helping Hands Employee Care Fund Application
This application allows MAPCO employees to request financial assistance in times of need. It provides support for essential living expenses due to various hardships. Eligible employees can apply for grants to help mitigate the impact of life-altering events.
Edit, Download, and Sign the MAPCO My Helping Hands Employee Care Fund Application
Form
eSign
Add Annotation
Share Form
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.

How to fill out the MAPCO My Helping Hands Employee Care Fund Application?
1
Review the eligibility criteria before starting the application.
2
Fill in your personal and employment information in the designated sections.
3
Select the qualifying situation that best describes your hardship.
4
Attach the necessary documentation to support your application.
5
Submit the completed application using the provided submission methods.
Who needs the MAPCO My Helping Hands Employee Care Fund Application?
1
Employees affected by a natural disaster who need financial support.
2
Individuals facing a life-threatening illness requiring help with living expenses.
3
Dependents of deceased employees seeking assistance for burial costs.
4
Those impacted by extreme circumstances such as theft or domestic abuse.
5
Employees on leave who are still eligible for assistance during their hardship.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the MAPCO My Helping Hands Employee Care Fund Application along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.

Edit your MAPCO My Helping Hands Employee Care Fund Application online.
Editing this PDF is a breeze with PrintFriendly. You can modify text and fields as needed to tailor the application to your situation. Save your changes for a hassle-free submission process.

Add your legally-binding signature.
Sign this PDF directly within PrintFriendly for added convenience. You can apply your signature electronically, ensuring your application is complete. This feature simplifies the submission process.

Share your form instantly.
Sharing this PDF with others is easy on PrintFriendly. You can send it via email or social media directly from the platform. Make sure those who need access can view the information they require.
How do I edit the MAPCO My Helping Hands Employee Care Fund Application online?
Editing this PDF is a breeze with PrintFriendly. You can modify text and fields as needed to tailor the application to your situation. Save your changes for a hassle-free submission process.
1
Open the PDF in PrintFriendly's editor.
2
Click on the text you wish to modify and make your changes.
3
If needed, highlight areas that require additional input.
4
Review your edits carefully for accuracy.
5
Download the updated PDF once you’re satisfied with the changes.

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.

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.

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

- 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?

- 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.
Related Documents - MAPCO Employee Assistance Application

Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.

Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.

TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.

Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.

Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.

Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.

Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.

MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.

Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.

Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.

Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.

Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.