GUIDELINES FOR DISCRETIONARY FUND:

Applicants must have a developmental disability.

Normally, Funds will pay for item(s) costing under $200.

Fund will not pay for items to be repaired or replace lost items.

Fund will not purchase an item that has an on-going cost associated with it.

Date *

Name of person completing the form. *

Phone *

Email Address *

Name of individual seeking funds. *

Why does the individual need access to the Fund to pay for item? *

Have other sources been tried to pay for items? *

Yes

No

If yes, please list other sources.

Do you have an invoice or printout for the item you're wanting to purchase? *

Yes

No

If yes, attach the file here (jpg, png, or gif format).

×

Drag and drop files here or Browse

Submit

First Name

Click here to download Discretionary Fund application.

BGC, Inc.
1221 S. Hartmann
Suites I & J
Lebanon, TN 37090
Ph: 1-615-377-0950 ext. 2453
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