Discretionary Funds Application

Attorney Information

Pro Bono Applicant

Set forth the nature of the bill, invoice, estimate etc. for which you are requesting funds. Include the amount of assistance requested, up to $750*, and attach hereto a copy of the related bill, invoice and/or estimate. Please ensure the creditor’s return billing address is included and clearly marked. Include the reasons or circumstances giving rise to the need for financial assistance and detail how the requested grant will resolve the situation. Attach an additional page, if necessary and copies of supporting documentation.

*In extraordinary circumstances a grant may exceed that limit up to $1,250 but the extraordinary circumstances must be detailed.

The Foundation assumes no obligation to accept any application. Acceptance shall be in the sole discretion of the panel assigned to review the request and even worthwhile applications may need to be turned down for any reason including but not limited to a failure to submit a complete application.