for our service providers
SERVICE Providers can complete a funding request here on our secure site. coming soon.
Service Providers, Clinics and Doctors, can obtain funds for clients from FACT’s Contingency Committee.
Your Client Eligibility: Must be a US citizen and reside in Bucks, Hunterdon or Mercer Counties to qualify and must apply through a certified Health, Service or Care Management Provider.
All client information is confidential and all client’s files are maintained as anonymous and assigned an identification number (client identity is never disclosed). Please contact us to receive a service provider code.
Complete and submit the Request for Emergency Contingency Funds form. If you need further assistance contact our office and leave a message: 215-862-3325
Request for Contingency Funds Form