The document provides two sample request letters asking for financial assistance to pay hospital bills. Citizenship or legal residency is not required.To write a letter requesting help with hospital bills, start with a polite greeting and introduce yourself, mentioning your situation briefly. A centralized place to download and access the documents they use to help their neighbors in need. However, you do not have to give evidence if: paperwork quickly. 3. Mail or fax it to: Contra Costa Health Plan If you did not fill out all of the application, you can finish it during your interview. Clearly state the reason for your request, including details about your hospital bills and any financial challenges you're facing. You may attach a copy of written documentation to confirm you are currently receiving aid, such as your medical card or award letter from an assistance program. Can a Civil Harassment Restraining Order Help Me?