This form is a sample letter in Word format covering the subject matter of the title of the form.
This form is a sample letter in Word format covering the subject matter of the title of the form.
Financial hardship is a situation where a person cannot keep up with debt payments and bills because of unforeseen or unexpected circumstances. Examples of unforeseen or unexpected circumstances include: Changes in employment status (such as furlough, losing a job, or having hours reduced)
If you receive assistance from or live in a home with a family or friends, please have them complete the attached form labeled “Letter of Support.” This will not make them responsible for your medical bills. This will help show how you are able to afford living expenses.
This letter should explain your current financial situation and why you're unable to make payments. It should provide specific details about the hardship, such as when it began, how it was caused and how long it may continue.
State social services agencies provide direct assistance to people with limited access to health care. They can offer referrals to local health centers and organizations that may be able to help. If you are eligible for Medicare, you can get help paying for your prescriptions through Medicare Part D.
- Briefly introduce yourself and state the purpose of the letter. - Explain your situation and why you need financial support. - Provide any relevant details, such as your financial circumstances, goals, and how the funds will be used. - Thank the recipient for considering your request.
In the body of your letter, explain your financial need in detail and how the assistance you are requesting will help you overcome your financial difficulties. Provide specific examples of how the funds will be used and how they will make a difference in your life.