Sample Letter Asking for Financial Help for a Sick Person

Sample Letter Asking For Financial Help For A Sick Person

Name of Sender
Address of Sender
City, State, Zip Code

DATE

Name of Receiver
Name of Institution
Address of Institution
City, State, Zip Code

RE: Requesting financial help for [Name of Person]

Dear [Name of Receiver],

This letter is to request assistance for purchasing the medications needed to treat [Name of Disease] for [Name of Person]. The medicine was prescribed by their specialist [Name of Doctor] on [DATE].

I understand that you give assistance to people who are eligible either by helping them pay for their medications or with free or very low-cost medicines.

I have completed the application form on your website and enclose a copy of it here. I have also enclosed a letter from her doctor stating that the medicine is required for her to continue everyday activities.

Also, I have enclosed a copy of her medical record regarding this disease including a copy of the prescription and her last three bank financial statements. 

As you can see, the cost of the medicine, which is COST, is a very high percentage of her monthly income.

Thank you for your attention to this matter. I can be reached at [555-123-4567] or at [name@email.com] if you have any questions or require more information. I hope to have a favorable reply from you soon.

Sincerely,

Signature
Name of Sender
List of enclosures