Follow the steps to complete your application successfully.

1. Press the ‘Get Form’ button to access the application and open it in your chosen platform.
2. Fill in the employee information section, which includes your name, contact numbers, home address, email, department or unit, university position, employee ID number, date of hire, campus phone number, and campus address. Ensure that all information is accurate as it is confidential and essential for the Fund Committee.
3. If you are completing the application on behalf of another person, provide the representative's name, relationship to the employee, and contact information.
4. In the emergency description section, clearly detail the purpose of your request by describing the circumstances that led to the financial hardship. Be thorough and specific; you may attach additional sheets if necessary.
5. Estimate the amount of financial assistance you need to address the immediate emergency. Be realistic and clear about your estimate.
6. List any other agencies or organizations you have reached out to for assistance. Include details about any financial help already received.
7. Indicate whether you expect any settlement or reimbursement related to your emergency and provide an estimate of that amount if applicable.
8. Specify if you have an insurance policy that may cover the situation and note any deductible associated with that policy.
9. Review your available funds; inform if you have savings or other accounts that could cover the immediate need.
10. If your request is for a medical emergency, confirm whether you have exhausted your health and personal leave, and mention your eligibility for the catastrophic leave policy.
11. Attach any required proof of the emergency, such as police or fire reports, a death certificate, or other relevant documents.
12. Finally, carefully read the certification statement, sign and date the form to affirm the validity of your information.
13. Upon completion, save your changes, download a copy for your records, and submit the application as instructed through email, fax, or in person.

Begin the application process online today to ensure your financial needs are addressed promptly.