Apply For Help 2017-11-13T02:20:23+00:00

Apply For Help

The Cancer Care Centers of Brevard Foundation (CCCF) offers financial assistance to pay non-medical living expenses for qualified patients undergoing active cancer treatment.

What do we pay?

  • Rent
  • Utilities (water, sewer, electric, phone, etc.)
  • Transportation (to and from treatment)

To qualify for assistance, you must:

  • Live in Brevard County, Florida
  • Be in active treatment for your cancer
  • Have an annual income at or below 250% of national poverty level

To apply:

  • Complete the application form in its entirety.
  • Fax (321-952-8830) or scan and email to
    • A copy of your most recent pay stub, unemployment check, or SSI, SSD, public assistance benefit notification or bank statement.
    • If you do not have income, provide a letter of support from friend or family member.
    • A signed letter from your oncologist that verifies you are currently undergoing active treatment for cancer.
  • You will be contacted within 7-10 days. Note:  Submission of an application does not guarantee approval.
  • If you have questions about this form or need assistance in completing, please call 321-952-8837.

All information is strictly confidential and for CCCF use only.

    Have you received assistance from Cancer Care Centers in the past?