Application for Financial Assistance for Death Benefits

Application Portal Temporarily Closed

Due to high demand and limited funding, we are not accepting new applications at this time. This is a temporary pause — please check back soon for updates.

Temporary Outage

Our assistance application form is currently experiencing a submission error. Please do not complete the form at this time. We are working to fix the issue and will update this page as soon as applications can be submitted again. If your need is urgent, please email lori@thedomorefoundation.org

Application Requirements

Please complete all areas on the application. Fields not required are marked as optional.
Make sure you have downloaded and filled out the Funeral Home Information Form (this will be linked to the pdf so it can be downloaded directly from this page… no need to send them elsewhere).
Please allow 48 hours for your application to be processed

Frequently Asked Questions

Are you able to help pay for my child’s cemetery costs?

Yes. We can assist with the funeral home expenses or cemetery expenses.

Can you help me negotiate a lower funeral cost?

Yes. Sometimes, when a funeral home knows that a non-profit is helping with the cost, they will supply additional discounts.