Forms

Applications must originate from a social service or health provider, and will not be accepted directly from potential clients.

The application includes the Request for Assistance form and bills which the applicant is requesting The Larrabee Fund pay.

Applications must be typed and be received by a Board member by the last Tuesday of the month to be considered at the following month's meeting.

Applications may be mailed to the address below. The social service/health provider may also email a request to be assigned a Board representative before submitting an application.

Larrabee Fund of Greater Hartford
P. O. Box 271724
West Hartford, CT. 06127

Forms and Application

Important reminder: The Board meets to consider applications the first Tuesday of each month. Only women living in the seven towns bordering Hartford are eligible.  The Fund does not pay bills in collection, credit card bills, educational expenses, travel expenses, taxes, or more than $1000 for dental bills. Women on public assistance may not receive a monthly stipend. Men are not eligible for funding.  Please note that the Larrabee Report From is for the use of Larrabee Board members only.