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Sample Funding Request Letter Date
Name of Organization
1 main street
my town, ca 90000
Attn: Name of Person
Dear: (Call in advance and get the name of the person to contact)
I am writing to ask for your assistance for my (self, family member, etc). Let me tell you about (whomever).
[Here, you put who the person is, what the disability is, what the need is. Include why the item would benefit the individual’s quality of life, documentation about the item, and any evaluations done by people who recommend the item. Include cost of item, any installation costs, and training costs if applicable.]
[Next, document all other sources of funding tried, and why they did not work for the person. Even if it seems obvious that a funding source (i.e. insurance) would not pay for an item, get it documented! Remember, this is a funding choice of last resort—they need to know you have tried all other options.]
Your assistance in any way is greatly appreciated. Please contact me at ___________________ if you need further information.
Sincerely,
(Your name here)
Helpful hints:
The AT Network is dedicated to protecting the rights of our consumers and allowing them to remain independent in the community. If you have a question, concern, or a story to share with us then please don't hesitate to contact us:
Toll-Free: 800-390-2699
TTY: 800-900-0706
E-mail: info@atnet.org
Philip’s ability to independently control his power wheelchair has helped build a level of self-confidence and awareness. It affects how he sees himself, and how the world sees him. “When Philip is out in his chair people recognize his intellectual abilities; they see him differently.”
-Phillip's Mom
