Application for T.j. Anthony Catastrophic Illness Program Family Member (Cip-Fm) - City and County of San Francisco, California

Application for T.j. Anthony Catastrophic Illness Program Family Member (Cip-Fm) - City and County of San Francisco, California

Application for T.j. Anthony Family Member (Cip-Fm) is a legal document that was released by the Department of Human Resources - City and County of San Francisco, California - a government authority operating within California. The form may be used strictly within City and County of San Francisco.

FAQ

Q: What is the T.J. Anthony Catastrophic Illness Program Family Member (CIP-FM)?
A: The CIP-FM is a program in San Francisco, CA that provides financial assistance to eligible family members of city and county employees who are facing catastrophic illnesses.

Q: Who is eligible for the CIP-FM?
A: Eligible individuals include family members of city and county employees in San Francisco, CA.

Q: What types of illnesses are considered catastrophic?
A: Catastrophic illnesses include serious conditions such as cancer, organ failure, and severe injuries.

Q: What types of financial assistance does the CIP-FM provide?
A: The program provides financial assistance for medical and related expenses not covered by insurance.

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Form Details:

  • Released on January 1, 2015;
  • The latest edition currently provided by the Department of Human Resources - City and County of San Francisco, California;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Department of Human Resources - City and County of San Francisco, California.

Download Application for T.j. Anthony Catastrophic Illness Program Family Member (Cip-Fm) - City and County of San Francisco, California

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