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Download information about the Catastrophic Illness in Children Relief Fund (CICRF)

If you have any questions, please contact the Catastrophic Illness in Children Relief Fund at CICRF.DPH@mass.gov or (617) 624-5951.

Learn more about Catastrophic Illness in Children Relief Fund.

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CICRF Required Documentation

Open PDF file, 830.74 KB,  CICRF Documentation of family income (English, PDF 830.74 KB)
Open DOCX file, 1.53 MB,  CICRF Documentation of family income (English, DOCX 1.53 MB)
Open PDF file, 71.36 KB,  CICRF Documentation of family expenses (English, PDF 71.36 KB)
Open DOCX file, 13.64 KB,  CICRF Documentation of family expenses (English, DOCX 13.64 KB)

Eligible and ineligible expenses

Open DOC file, 50 KB,  Descargue una lista de gastos admisibles (Spanish, DOC 50 KB)
Open DOCX file, 33.16 KB,  CICRF Ineligible Expenses (English, DOCX 33.16 KB)
Open DOCX file, 35.1 KB,  CICRF Eligible Expenses (English, DOCX 35.1 KB)

Annual report

Open PDF file, 701.87 KB,  The Catastrophic Illness in Children Relief Fund Annual Report (English, PDF 701.87 KB)
Open DOCX file, 287.48 KB,  The Catastrophic Illness in Children Relief Fund Annual Report (English, DOCX 287.48 KB)

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