Apply for Assistance
To apply for assistance you must currently be a resident of Rock County, WI and be in treatment for cancer. Current grant amount is up to $1,300 a year; this compensation amount is subject to funds available. These grants can be used for rent/mortgage, utility payments (water, electric, and sewer), phone/cable/internet bills, car insurance, health insurance, or car payments.
The application consists of 3 parts: an application form, authorization for disclosure of health information, and diagnosis verification form. Below are all of these forms; be sure to fully complete all of these forms before submitting application.
P.O. Box 2092
Janesville, WI 53547
Please Note:
Due to ongoing problems with Charter and Spectrum. RCCC will no longer be able to pay those bills for our clients.
Approved applications are identified by a unique client number to ensure confidentiality and only the executive director is aware of the name and private information of the applicant.