East river foster parent network
**Request for ASSISTANCE**

ERFPN Supporting Foster Families and Children

THE Purpose:

This form is to request funds for children in foster care and/or foster families, to assist them in pursuing activities or items that will helpassist foster families and/or the child’s physical, social, and emotional growth.

The Criteria:

  • 1. Children in foster care are eligible if they are in long term care and Foster families are eligible for assistance so long as they are licensed in the greater East River Foster Parent area, and actively accepting placements of children.
  • 2. The child or family requesting funds, must approach the merchant and ask for a reduction in the cost of the activity, fee, or item associated with the request.
  • 3. There are no other programs through the state or locally that would pay for the cost associated with the request. (example: Sanford car seat clinics)
  • 4. If a child in foster care is requesting funds, we encourage them to write a brief description or color a picture of what they are requesting funds for.

The Procedure for Applying:

  • 1. Apply using the request form in this document.
  • 2. There are no deadlines for requests. Requests will be reviewed at ERFPN meetings. (The 3rd Thursday of January, March, May, July, September, and November) If this request is needed prior to the meeting, an ERFPN board member email vote, can also approve the request.
  • 3. Once the request is complete it can be emailed to or given to a social worker who will in turn send it to ERFPN.
  • 4. Each request will be reviewed and voted on by the ERFPN board. It is the sole discretion of the board to vote on and determine who will be awarded requests.
  • 5. If the request is granted, ERFPN will need a receipt or estimate from the merchant and ERFPN will need a receipt or copy of the receipt to retain for their records.

East River Foster Parent Network

Request for Funds Form

Foster Parent Information:

Name(s):
Address:
Email address:
Phone number(s):

Foster Child/Children Information:

First Name Only / Age / Gender / Length of stay
(if known)
EXAMPLE: Ruby / 11 / Female / Investigation stage

Please Give Us a Brief Description of What You Are Requesting:

East River Foster Parent Network

Request for Funds Form

Request Information:

What is the dollar amount that you are requesting?
Are there any other funding sources that would pay for this or part of this?
Have you asked the merchant for a reduction in the cost?
What is the original price?
If the merchant agreed to reduce the cost, what was the amount reduced to?

Merchant Information: (if applicable)

Merchant Name:
Merchant Address:
Merchant phone number:
Merchant Email address:
Merchant website:

East River Foster Parent Network

Would you be willing to help ERFPN and

other foster families by:

Attending an ERFPN meeting?
Becoming an ERFPN member?
Volunteering at a fund raiser?
Volunteering at the family picnic?
Going to a foster parent support group?
Helping ERFPN raise funds for foster children?
Is any other way you would like to support ERFPN and Foster Families?

IF YOU HAVE QUESTIONS ABOUT THE FORM OR ERFPN, PLEASE FEEL FREE TO CONTACT US BY EMAIL AT OR CONTACT YOUR SOCIAL WORKER.