Apply for assistance

Financial help after the loss of a child

If your family has lost a child, you shouldn't have to choose between grieving and paying the bills. Breathing Room Foundation offers short-term help with everyday expenses so you can take the time you need. Applying takes about 3 minutes, and every application is read with care.

Start Your Application

Who can apply

You may apply if:

Not sure if you qualify? Apply anyway, or email Nicole at . We'd rather hear from you.

What we help with

Mortgage · Utilities · Car payments · Groceries · Gas

Payments are made directly to the company you owe [or as grocery and gas gift cards]. Assistance amounts depend on available funds.

Your application

Share only what you're comfortable sharing. Fields marked with * are required.

Name

Phone

Best way to reach you?

Mailing address

Your child's name

Date of your child's passing

Your relationship to the child

Anything you'd like us to know about your child

Approximate amount needed ($)

Tell us about your situation

Bill or statement upload (PDF, JPG or PNG)

How did you hear about us?

Acceptance:

The information I've shared is true to the best of my knowledge.

What happens next

We read your application

Nicole reviews every request personally.

We reach out

Expect a call or email within a week to talk through your needs.

We help where we can

Approved assistance is paid directly toward your bill.