We Are Here For You


To qualify for financial assistance, you are a resident of Rock County, WI and in treatment for cancer. Current grant amount is $1,400 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 (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 caring 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.

Application and Instructions
Download Form
Cancer Support Group
Download Flier
Cancer Caregiver Support Group
Download Flier

When you have completed all of these forms please mail them to our PO box at:
Rock County Cancer Coalition
P.O. Box 2092
Janesville, WI 53547
 
If you have any questions or concerns you can contact us by email at info@rockcountycancercoalition.org or phone at 608-754-2286


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.