We Are Here For You
To qualify for financial assistance, applicants must be residents of Rock County, Wisconsin, and currently in active cancer treatment. Grants may be used for living expenses, including rent or mortgage payments, utilities (water, electric, and sewer), phone, cable, or internet bills, car insurance, health insurance, and car payments (see page 5 of the application).
Below is your application to download and print. If you do not have a printer:
1. When you go to your next oncology appointment, you can ask your care team to print the application. Please remember that your oncology support team is very busy and this is not required. They may also be able to assist with having your oncologist complete your "Doctor Verification" Form (Page 4) of your application.
2. You can stop by our office at One Parker Place, Suite 320 to pick up an application. If someone is not in the office, there is a brochure holder in the lobby area that holds blank applications and other literature.
P.O. Box 2092
Janesville, WI 53547
Please Note:
Due to ongoing problems with Charter and Spectrum & American Family Insurance. 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.