Support Request

Please complete this online form and an HFCF representative will contact you.

  • HFCF only assists families in the Monmouth County area
  • People in need may only apply once for a grant from HFCF
  • The Board reviews all applications. Please allow 3-4 weeks for processing and payment
  • Please make sure the new consent form is reviewed and signed before submitting
  • If you are requesting assistance for a specific bill, then the invoice must be included or application will be denied
  • HFCF can help with the following but not limited to, rent (only with a copy of a signed, legal lease), child care, utilities, cable, phone, auto expenses, insurance, food & gas gift cards, medical bills, prescription co-pays, etc. However we do not help pay credit cards or give money directly to an applicant.
MM slash DD slash YYYY

Applicant Information

Male / Female(Required)

Medical information

Current Situation

Application Submission

Please make sure the application is filled out completely and a HFCF representative will contact you. We will need a signed application, include copies of invoices (if applicable), and if it is a medical condition you must include a signed doctor’s note with a diagnosis.
Max. file size: 50 MB.

Scroll to Top