HD Family Relief Fund | Help 4 HD Internatio

HD Family Relief Fund Submission

First Name

Last Name

Phone

Address

You have to verify someone in your house has JoHD or HD

You have to verify how many people live in the household

You have to verify that the household income is under $25,000/ year

What are you requesting relief for?

If available, upload an image of bill

Upload File

Help 4 HD International reserves the right to refuse the request. Help 4 HD International reserves the right to verify the information before approval of the request. Help 4 HD International Family Relief fund is dependent on grants and donors. Approval is only available when there are funds present. You can only apply once a calendar year. Individual understands that Help 4 HD International may not be able to pay the full amount but may be only able to fund a partial request.

Thanks for submitting!