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Welfare Fund Application

This fund gives grants to help with household bills and other essential items. It can also make small emergency payments if you are in urgent need.

Non-emergency applications are considered by a Welfare Fund Panel at the end of each month. Please remember that we always receive more applications to the Fund than there is money to pay out. Sometimes this means we have to make difficult decisions. Priority is always given to people most in need.

The GHT Welfare Fund is financially supported from individual donations.

To apply for a grant from the GHT Welfare Fund you must be HIV positive and live in the North West of Engand. (All sections labeled with a * are mandatory fields)

   
Name:*
Surname:*
Date of Birth
Address:*
Post Code:
Email:*
Phone:
Is it OK to leave a message for you on this phone number or email?*
Yes  No
How much money are you asking for ?*
Most welfare fund payments are between £20 and £150.
 
Please say what you want us to pay for.*
You must send us copies of any bills, or written estimates for any goods that you are applying for. You can either post these to George House Trust, Freepost - NWW1004, Manchester M12 9GH
 
Who is the cheque to be made payable to.*
Normally the cheque is made payable to the organisation concerned (e.g. British Gas), or if this is not possible we will write a cheque to you. If you have no bank account please write "not cheque" and we will see if another payment method is possible.
 
Why do you need this item ?
Leave blank for household bills like gas, electricity and phone etc.
 
What is your weekly income (after tax if you are working)?
This will help us know if we can apply for other grants for you.
 

What is this money made up of?*
Other (please detail)

 
How many dependent(s) do you have?
Children or other people financially dependant on you.
 
Have you applied to CRUSAID for this item (if eligible)?
Yes  No
 
If so, what was the result?
Have you applied to the Dept Work & Pensions Social Fund for this item
(if eligible)?
Yes  No
 
If so, what was the result?
 
Is there anything else you would like to tell us in support of your application?
 
Confirmation of HIV Status
Please attach evidence that you have been diagnosed HIV positive. This must be a letter from the consultant at an HIV testing clinic. It must include your date of birth. Please post these to the George House Trust address. (If you know George House Trust has it on file please tick below)
Full confirmation on GHT file
Please add any background information on separate sheets and enclose originals of any bills. (If you are sending us a print out)
 
I would like to receive GHT Information Mailings:
 By post   By Email 

We will look at your application as soon as we receive it.

If it is an emergency situation we will contact you to discuss your options and in these circumstances we may be able to make an emergency payment. Applications are considered on the last working day of each month. If you have not heard from us within the following three working days you should assume that on this occasion your application has been unsuccessful.

DO NOT PAY IN ADVANCE WE CANNOT FUND RETROSPECTIVELY (AFTER YOU HAVE PAID)

A receipt form will be sent out to you afterwards, which you must complete and sign. There is no limit to the number of requests you can make each year. Normally no more than one payment per person can be made each calendar year. We can only pay out until funds are exhausted.