Cost of Living Fund – Application form

To apply for the Cost of Living Fund please complete the below application form and a member of our team will be in touch.

All of the below questions are required in order to process an individuals application. 

If you require any further information please email

    Who is submitting this form? e.g. a patient or a family member on behalf of the patient

    Details of the patient receiving the fund

    Share your story

    If you wish to share your story of diagnosis or supporting someone with a blood cancer, please let us know and we will get in touch with you. We use stories to show our impact to supporters but also in campaigning work to improve the lives of people affected by blood cancer.

    Application agreement

    I confirm I have read the terms and conditions and agree to abide by them. I also agree to provide written feedback once I have received the grant.

    On submitting this form, you will automatically be enrolled in receiving our email communications about our services, campaigns, volunteer opportunities, and how to get involved. You can unsubscribe at any time by calling 01905 755977 or by emailing We will never swap your details with other organisations or share them with other charities for marketing purposes.