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HOW TO APPLY

 

Julia's Butterfly Foundation, Inc. (JBF) provides assistance to terminally and chronically ill children in the tri-state area (NY/NJ/CT). We pay directly to the provider and never to the patient, to avoid any tax liability for the family. JBF does not discriminate based on race, color, gender, religion, or illness and reserves the right to distribute funds at its sole discretion.

 

JBF has moved to an all online application process, so you will need to complete and submit the fillable PDF form on this website. An application will not be able to be submitted in the new fillable PDF format unless all required fields are entered. 

 

Our guidelines and application have been updated as of October 1st, 2021 and can be found in this section. Simply click the orange button above "Click Here To Apply Online" to be brought to our fillable PDF application section.

 

Once you are in the fillable PDF section, we suggest that you click the orange button "Open Printable Form" in the top right section to read the application and print out the form before starting the fillable PDF.  You will not able to save the document to finish at a later time, so it is important to know what information is needed. 

 

We require a minimum of one photo of your child to be submitted at the time of the application. Additionally, do not provide any social security information on any files. Please white out the SSI information before uploading.

The board reviews all applications and does their best to provide an answer as quickly as possible.

If you have any questions regarding the application, please email:

applications@juliasbutterflyfoundation.org

GUIDELINES FOR SUBMITTING APPLICATIONS - October 1st, 2021

  1. Julia's Butterfly Foundation, Inc. (JBF) has moved to an all online application process, so you will need to complete and submit a fillable PDF form. We suggest that you click the orange button "Open Printable Form" to review and print the application before starting the fillable PDF. This will ensure you have all the information needed in advance, as you are not able to save the document to finish at a later time.

  2. Before submitting your application, please save a copy to your computer for future reference.

  3. All applications should be filled out using the application dated 10/1/21 at the bottom of the page. Questions may be submitted using the applications@juliasbutterflyfoundation.org email address. All required fields need to be filled in our you will be unable to submit the application

  4. A minimum of one photo of your child is required to be submitted at the time of the application, along with a media releaseChildren’s photographs become the property of JBF and will not be returned.

  5. Each request requires a copy of a corresponding bill to be uploaded to the file. Further, all doctor/social worker documentation must be written and dated within one year. 

  6. Family member and social worker email addresses are required.

  7. Uploaded copies of bills must be legible and clearly show the appropriate account numbers and mailing addresses and have any social security numbers/information blocked out. Illegible bills will no the accepted and will delay the processing time.

  8. Request for assistance with rent must include a lease agreement with the name and address of the landlord. In cases where there are 2 names on the lease, please provide an explanation and relationship to the child.  

  9. Evidence of the family’s financial situation includes tax return, W2, or pay stubs. Remove all social security numbers from these documents before submitting or the application will be returned. 

  10. We understand that bills are often past due when they are submitted. JBF reviews applications on an ongoing basis and provides its best efforts to review time-sensitive applications as quickly as possible. It may take several weeks after an application is reviewed and approved for payment to reach the vendor and be applied.

  11. All Government Assistance certificates for Section 8, SSI, Disability, Food Stamps, utility assistance, etc. must be included with the application at the time of the request.

  12. We reserve the right to limit the total amount of giving to an individual family.

  13. Any additional fundraisers in support of the child, must be disclosed at the time of the application in Section X, including, but not limited to GoFUndMe and other online fundraising tools.

  14. Subsequent applications for the same child within the same year may be resubmitted using a copy of the original application, noting any updated information and requests in Section 9. Invoices and other supporting documentation must accompany the application. The application must be signed and dated at the time of the subsequent request in the section provided. 

  15. Once the request has been denied, that request will not be reconsidered.

 

Julia’s Butterfly Foundation, Inc. (JBF) is a registered 501 (c) 3 charitable organization. JBF is comprised of an all-volunteer staff and we make every effort to review all applications in a timely manner. We reserve the right to distribute funds at our sole discretion and do not discriminate based on race, color, gender, religion, or illness. By signing below, I/we acknowledge that we have read the guidelines of JBF and agree to the terms. Please note:  the foundation does not pay doctor, hospital, or for prescription drugs of any kind and does not make any payments directly to any families, nor do we pay credit card bills. We cannot provide gift cards, with the possible exception of grocery cards, determined on an individual basis.