Funding for Families

Project 4031 provides funding assistance for basic needs for terminally ill children and adults with a current life expectancy of six months or less. As a 501(c)(3) nonprofit organization founded in Fort Worth, Texas, Project 4031 ONLY serves patients living within North Texas. Support is intended for struggling families who are unable to make ends meet due to financial hardships.

Who is eligible to apply?
Terminally ill children and adults with a current life expectancy of six months or less who live in or are receiving primary medical/hospice care in North Texas can apply for services. North Texas is defined to include the following counties: Collin, Cooke, Dallas, Denton, Ellis, Erath, Fannin, Grayson, Hood, Hunt, Johnson, Kaufman, Montague, Navarro, Palo Pinto, Parker, Rockwall, Somervell, Tarrant and Wise.

North Texas patients will be eligible to receive short-term funding to assist with basic needs such as housing, utilities, groceries, and more. If a patient is not on hospice service, documentation from a treating medical professional is required as proof of a terminal diagnosis. It is not relevant if a patient/family has received resources from other agencies in the past.

We cannot fulfill the following types of funding requests:

  • Requests for individuals with chronic or life-threatening illnesses (unless they are in their last six months of life)
  • Requests for patients OUTSIDE of North Texas
  • Posthumous requests of any kind
  • Funeral Costs
  • Medical treatments/medical bills/prescription medications
  • Health insurance
  • Property and home improvements
  • Reimbursement for paid bills
  • Taxes
  • Cash
  • Credit card bills
  • Cable/internet bills

How to Apply:

Please click below to apply online now with any device or apply by downloading the PDF application. The PDF application must be uploaded below using our HIPAA Compliant system. All applications, forms, and supporting documents must be submitted or uploaded through our secure online portal and will not be accepted via email.

Funding for Families Applications requires the following: All applications without the following are considered incomplete.

  • Signature of the patient or authorized caregiver/parent/legal guardian
  • Supporting Documentation:
    • Proof of current household income
    • Copy of current unpaid bills/housing documents for which funding is requested (if applicable)
  • Medical Authorization Form
  • This separate form must be completed by the referring hospice representative or medical professional with a hospice face sheet or official letter provided respectively. Please click below to submit the form online now with any device or download the PDF form. The PDF form and supporting documentation must be uploaded below using our HIPAA Compliant system.

If you have any questions, please contact our office before submitting your application. Call (817) 653-8976 or email info@project4031.org.

Medical Authorization Form

*This form is only for HOSPICE patients and must be submitted by a hospice representative.

*This form is only for NONHOSPICE patients and must be submitted by a medical professional (treating physician, PA, NP or RN ONLY).

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Contact Us:

708 May Street

Fort Worth, Texas 76104

info@project4031.org

Phone: (817) 653-8976

Fax: (817) 841-8250

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