How does a family apply for the Fund?
The application can be downloaded from this site. You may print the blank application form and fill it out by hand and mail it.
To maintain confidentiality, the application form cannot be transmitted electronically.
If you need help in translating or completing the application, please call the 800 number located at the bottom of each web page
and CICRF staff will assist you.
To request that an application be mailed to you, please
call or write:
Catastrophic Illness in Children Relief Fund
Massachusetts Department of Public Health
250 Washington St., 5th Floor
Boston, MA 02108-4619
Phone: 1-800-882-1435
TTY 617-624-5992
