Serious Illness and Emergency – Form
Funding to assist a terminally ill or seriously ill AM-YAC Member and their immediate family.
An immediate family member is to be nominated to communicate with the Executive Office.
A letter from the hospital or a doctor must be provided with the first application to verify the condition requires ongoing treatment and/or a visit to a medical specialist.
Support that can be provided may include:
- Medical related costs not covered by the government.
- Immediate family travel costs (between towns and cities) to attend the bedside of a seriously ill or terminally ill AM-YAC Member.
- Accommodation.
- Food.
- Other key factors.
To apply, submit the form.
You will receive a confirmation email when your application has been received.
Online Application Form
If you prefer you can download and email back the application form to trust@amyac.com.au