Get Request For Assistance Form - Ctdi

This guide provides a clear and supportive walkthrough for users on how to effectively fill out the REQUEST FOR ASSISTANCE FORM - CTDI online. It is designed to assist individuals seeking financial help for themselves or their immediate family members facing serious health challenges.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access and open the REQUEST FOR ASSISTANCE FORM - CTDI.
2. Enter the date in the designated field to indicate when you are submitting the form.
3. Fill in your full name in the appropriate space to identify yourself as the requestor.
4. Provide your complete address, including street, city, state, and zip code, in the address fields provided.
5. Indicate your branch and department in the corresponding sections to specify your workplace information.
6. Input your email address so that the committee can contact you regarding your request.
7. Fill in your extension number to assist with direct communication within your organization.
8. Provide a home or cell number for further contact if necessary.
9. Clearly describe the nature of your request and specify the amount of assistance you are requesting. Be detailed, but remember that medical expenses are not eligible for reimbursement under the regulations.
10. Sign the form and date it to confirm the application, ensuring the request is validated before submission.

Complete your form online to access potential financial assistance today.