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print STEPS to access funds for SERIOUS MEDICAL needs The Floor Covering Industry Foundation is a 501c3 non-profit organization that assists floor covering employees, retirees, and their household family members who are facing life-altering illnesses, injuries, and disabilities. Here is an overview of the process of applying for a financial assistance grant from FCIF. Learn more at fcif.org.
GRANT INQUIRY FORM helping those in our industry most in need
We provide financial assistance to help with medical care, prescriptions, medical equipment, home repairs, shelter, food, utilities, and other basic needs for families who have a catastrophic or life-altering medical event.
LEARN ABOUT THE FCIF GRANT PROGRAM.
1.
Review our grant criteria at fcif.org/grants-applications.
COMPLETE THE EASY ONE PAGE INQUIRY FORM!
2.
Name: Address:
State:
City:
E-Mail:
MATCH YES/NO?
3.
Date of Birth:
Phone:
Download the grant inquiry form and begin the application process.
Zip:
The FCIF staff will review your information and let you know if your situation seems like a good fit for our financial assistance program!
To help determine if you might qualify for assistance from our organization please answer the following three questions: #1 Have you or an immediate household family member worked in the floor covering industry for 5 or more years? Note: Grant recipients must be currently employed in the flooring industry or not have left more than 5 years ago, unless they are retired or have a qualifying medical condition. Yes
No
SUBMIT APPLICATION & SUPPORTING DOCUMENTS
4.
Download the application to begin the process for financial assistance. Be sure to include all requested documents and sign the form!
If yes, name of person:
Name of company:
or
Position:
self-employed
OBTAIN MEDICAL RECORDS
5.
Once your application is received, FCIF will fax your medical records release form to your provider. For faster processing, you can submit your own medical records
Company Phone:
directly to FCIF.
Number of years worked in the flooring industry: #2 Do you have a life-altering medical condition?
Yes
6.
No
$
COMPLETE BUDGET WORKSHEET After your medical needs are verified, we will send you a household budget worksheet to complete and send in along with copies of your bills.
If yes, please describe your illness, injury, or disability:
BEHIND THE SCENES MAGIC HAPPENS!
7.
Our staff will assemble your employment, medical, and financial documents and seek approval from our Grant Committee.
#3 Is your household in extreme financial need? Yes No Please briefly describe your household income and other financial assets and your monthly expenses and medical bills. What assistance do you need to help you pay your bills or get medical treatment?
YOU RECEIVE FUNDING!
FCIF
8.
YOU
If approved, FCIF will mail you an award letter, and grant checks will arrive in your mailbox monthly (up to six months).
VERIFY YOUR GRANT
9. APPLICANT SIGNATURE:
Date:
We will reply to all Grant Inquiry Forms within 10 business days. If you have not heard from us, please call 706.217.1183 or email info@fcif.org. If we think you might be eligible for assistance, we will ask you to complete a full grant application. We encourage you to go ahead and review the documentation that will be required by visiting our website, fcif.org/grants-applications. Return this form to: FCIF, 855 Abutment Road #1, Dalton, GA 30721 • Fax: 706.217.1165 • Email: info@fcif.org
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QUESTIONS? To learn more about FCIF's grant process, Brittany Almon
FCIF Outreach Manager
V: JUL2026
After the grant term ends, you will complete a grant use form to verify the grant was spent as intended. Once confirmed, you are eligible to reapply.
contact Brittany at balmon@fcif.org or by calling 762.209.3226.
info@FCIF.org
855.330.1183
FCIF.org
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contact us ablackbourn@fcif.org 855.330.1183 fcif.org