The document provides two sample request letters asking for financial assistance to pay hospital bills. To write a letter requesting help with hospital bills, start with a polite greeting and introduce yourself, mentioning your situation briefly.List the amount of your monthly income and assets from all sources. You may be required to supply proof of income, assets, and expenses. Enclosed is a copy of my completed application for financial assistance. These guides help you fill out your Medicaid Renewal and give examples of documents you can use to give proof of information we need to decide on help for you. To write a letter requesting help with hospital bills, start with a polite greeting and introduce yourself, mentioning your situation briefly. Unless you have a Very Good Personal Relationship with your boss, no good way to write a letter like this exists. You have to fill out the application form. You must fill out the application form.