Application for Emergency Assistance 

 





For Employee SSN: The - symbol must be used between the groups of numbers. E.g. 111-11-1111. Error 1.1 would signify an invalid SSN or invalid formatting.
You will be notified of your Emergency Assistance application status by email. Please verify that you have provided valid contact information. You will only receive communication concerning your application.



$200 is the max for Campus Funds

$1000 is the max for Foundation Funds



In order to be good stewards of the donations that are provided to us we require verification of an emergency in most situations. This verification is generally in the form of a payment receipt, an estimate from a company, or something else of this nature.

If you are able to upload this documentation here it may be able to greatly increase the speed in which the Foundation can make a final decision on the request.



In order to be good stewards of the donations that are provided to us we require verification of an emergency in most situations. This verification is generally in the form of a payment receipt, an estimate from a company, or something else of this nature.

If you are able to upload this documentation here it may be able to greatly increase the speed in which the Foundation can make a final decision on the request.






Schools nationwide are closing until further notice to prevent the spread of Coronavirus amongst vulnerable populations. Unforeseen costs such as childcare and meals have the potential to hit Trilogy family members throughout the company. To help, the Trilogy Foundation is prepared to offer meal assistance for children enrolled in programs at school when the school is closed because of Coronavirus free/discounted meals. 

Please answer the following question(s) to see if you are eligible for this assistance:






It does not appear that you are currently eligible for this assistance. Please return to this form if you become eligible in the future.

Emergency Food Assistance:

Eligibility:

1. Must be a full or part time employee of Trilogy Health Services, Paragon Rehabilitation, or PCA Pharmacy. 

2. Children must be 17 years old or younger and a financial dependent of the employee. 

3. Children must be enrolled at a school that has closed as a result of Coronavirus (COVID-19). Employees with children who are still in school with no closures are not eligible for food packages at this time.

4. Families that are currently participating in a free and discounted meal program.

 

Click here to view the full Emergency Food Assistance Policy










The Trilogy Foundation seeks to provide support to employees in times of catastrophic events. A committee will review all requests for assistance. Awards are determined on a case-by-case basis and the amount of your assistance may not equal the amount you have requested. Depending on the situation, you may be asked to provide documentation that supports the details of your emergency.

Contact Information