Examples of One Company Fund Application Required Documentation Examples of documents supporting the dollar amount requested: Request Examples of Required Documentation Assistance with rent or mortgage Copy of a complete confirming monthly rent  Letter from landlord confirming monthly rent  Mortgage coupon confirming monthly bill  Assistance with medical bills Outstanding bill from doctor  Outstanding bill from pharmacy  Outstanding bill from hospital  Assistance with monthly utility expenses Outstanding utility  Assistance with specific outstanding bill Outstanding specific bill  Assistance with airfare Quote from airline confirming probable travel expense for  appropriate dates Assistance with replacing stolen or damaged items Breakout of expenses to replace or damaged items  Quotes for replacement items  Assistance with lost wages of spouse Confirmation of $ amount of lost wages from spouse’s  employer Assistance with funeral expense (up to $3,000.00) Outstanding bill from funeral home  Examples of documents confirming unpredictable event: Unpredictable Event Examples of Required Documentation Fire Fire department investigative report  Emergency Surgery Doctor’s letter confirming surgery/injury/illness  Injury Doctor’s letter confirming inability to work (if applicable)  Illness FMLA paperwork  Letter from second employer confirming leave (if  applicable) Death of an immediate family member Death certificate (Required)  Life insurance policy, or written confirmation if  insurance was not purchased Car Accident Police report  Insurance report  Cannot afford rent/mortgage because of an Letter from landlord/mortgage coupon confirming past  due eligible unpredictable event bill
Examples of One Company Fund Application Required Documentation Examples of documents supporting the dollar amount requested: Request Examples of Required Documentation Assistance with rent or mortgage  Copy of a complete confirming monthly rent  Letter from landlord confirming monthly rent  Mortgage coupon confirming monthly bill Assistance with medical bills  Outstanding bill from doctor  Outstanding bill from pharmacy  Outstanding bill from hospital Assistance with monthly utility expenses  Outstanding utility Assistance with specific outstanding bill  Outstanding specific bill Assistance with airfare  Quote from airline confirming probable travel expense for appropriate dates Assistance with replacing stolen or damaged items  Breakout of expenses to replace or damaged items  Quotes for replacement items Assistance with lost wages of spouse  Confirmation of $ amount of lost wages from spouse’s employer Assistance with funeral expense (up to $3,000.00)  Outstanding bill from funeral home Examples of documents confirming unpredictable event: Unpredictable Event Examples of Required Documentation Fire  Fire department investigative report Emergency Surgery Injury Illness  Doctor’s letter confirming surgery/injury/illness  Doctor’s letter confirming inability to work (if applicable)  FMLA paperwork  Letter from second employer confirming leave (if applicable) Death of an immediate family member  Death certificate (Required)  Life insurance policy, or written confirmation if insurance was not purchased Car Accident  Police report  Insurance report Cannot afford rent/mortgage because of an eligible unpredictable event  Letter from landlord/mortgage coupon confirming past due bill
ocf-applicaiton.docx