Financial Hardship Fund Application Form

To apply for our financial hardship fund please complete the below application form and a member of the team will be in touch.

Currently, our Hardship Fund has a backlog and there is at least a 1-month delay, we advise you to continue to fill in the application form and we will get back to you as soon as possible.

All the below questions are required. If you require any further information please email

    PatientFamily memberOther

    Leukaemia Care would love to keep you updated on our services, campaigns and how to get involved. If you are happy to hear from Leukaemia Care by email please tick which box applies from the options below:

    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.