Community Health Aide Emergency Fund Grant Application

This Fund is to help only current or former health aides in the YK Delta with a personal or family emergency .

Need a copy of this form faxed or emailed to you? If so, please contact BCSF at 543-1812 or YKHC SIs at 543-6160 and make that request.

Want to download the form? A downloadable version of the form can be found HERE.

Want to submit online? Scroll down to the web form below. If you choose to submit online, please contact BCSF at 543-1812 to make sure it was received. You may be asked to also provide a W-9 Form.

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