Angel Assistance Request

Teenage Girl Helping Senior Woman To Carry ShoppingThe Angel Program of the Brandon Foundation offers assistance to families and individuals affected by a life-threatening disease or catastrophic event. Our program matches individuals and local business owners with available resources to help meet those needs, at no cost. In addition, the Brandon Foundation works with over 70 charitable organizations in Eastern Hillsborough County who provide a variety of resources to meet the needs of the community.

The Brandon Foundation operates only in the following zip codes: 33610, 33619, 33584, 33527, 33594, 33510, 33511, 33534, 33569, 33547,33598,33572, 33573, 33570

 

Angel Assistance Requested

If you or someone you know is facing a life threatening illness or has suffered a catastrophic event, please submit the Assistance Form and someone will contact you within 3 business days, if not sooner. PLEASE NOTE – while we would like to fulfill every request, we do not currently accept new requests that are strictly financial in nature. INFORMATION OF PERSON NEEDING ASSISTANCE

Name (required):

Street Address:

City:

State:

Zip Code:

Phone:

Email Address (required):

Are you or a member of your family active-duty military?

Please provide a description of the type of assistance requested.

Your Request:

INFORMATION OF PERSON SUBMITTING REQUEST IF DIFFERENT THAN ABOVE.

Is the person for whom the request is submitted aware of the request?

Name:

Street Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Please provide any additional information pertinent to this request.

Additional Information: