Applying for Help from the KidUNot
We (KidUNot staff) hope we can be of assistance to you but how many people we can help and to what extent depends on the amount we receive in donations. We provide grants to all types of living organ donors--kidney, liver, etc. Our grants cover any verifiable donation related expense and lost wages for the donor and sometimes also the donor's caregiver.

All grant decisions are in KidUNot's sole discretion and final unless we give written (email) notification that adjustments can still be made. We prefer receiving applications prior to donation, but will accept post-donation applications as long as there is a clear reason, such as donation surgery related complications, that explain why an application was not submitted pre-donation. We do not make grants based on income, but on the ability of donors (and their caregivers) to give us verifiable documentation of their donation related expenses and lost wages.

All applications are processed in the order in which they are completed--not only this initial form but all relevant information requested to support the application. We will respond to your request as fast as we can (usually our initial response to your submitting this form is within 24 hours). Overall time from initial application to grants being awarded depends on how fast requested supporting materials are submitted to us for consideration. Once all the necessary paperwork is completed, we mail grant checks immediately upon confirmation that the organ donation has taken place.

Living organ donors are heroes. We hope to make your decision to save the life of a loved one, friend, or stranger, a little less stressful. It is our goal to eliminate financial considerations from the living organ donation decision making process.

Below is what we need from you to begin processing your application.

Email address *
First name *
Your answer
Last name *
Your answer
Sex: *
Date of birth *
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Marital status
Full address (street number and apartment number if applicable and name of sweet) *
Your answer
City *
Your answer
State *
Zip / Post code
Your answer
Home phone *
Your answer
Cell phone *
Your answer
Your monthly net income (not including spouse's)(Please use only numbers, no $, commas or decimal points) *
Your answer
What is your relationship with the organ recipient? *
Your answer
Type of organ you are donating *
Your answer
Date of organ donation *
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DD
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Transplant center *
The Transplant Center where you will be donating
Your answer
Your job or profession *
Your answer
How long have you been at your current employment?
Your answer
Do you have health insurance? *
What insurance does your recipient have? *
Your answer
Has your recipient asked his/her insurance company about covering your non-medical expenses (some insurance companies cover travel and/or lodging expenses for living organ donors)? *
Your answer
Is your organ recipient covering any of your donation related expenses? If yes, how much? *
Your answer
Are any of your family members or friends covering any of your donation related Expenses? If yes, how much? *
Your answer
Is your donation a direct donation or are you involved in a chain, paired, or swap donation? If so, how big is the chain?
Your answer
Who will be caring for you while you recover at home? *
Your answer
Who will be accompanying you to the hospital when you have your donation surgery? *
Your answer
Do you have any short-term disability coverage? If yes, for how much and starting when? *
Your answer
Has the transplant center applied to NLDAC for you (money is available to help with travel and lodging if your recipient qualifies for such help)? If, not, please ask them to do so, before you submit this application or explain why they have not applied to NLDAC. *
Your answer
Has your transplant social worker applied to the AFT to ask for help with paying Your monthly bills after your donation surgery? If not, ask him/her to apply before submitting this application, or, explain why not. *
Your answer
List any other financial assistance you will have during your recovery. *
Your answer
How much financial assistance are you requesting? (Please use only numbers, no $, commas or decimal points) *
Your answer
Describe what the money will be used for. *
Your answer
Your Transplant Social Worker's Name *
Your answer
Your transplant social worker's email *
Your answer
Transplant social worker phone *
Your answer
Were you born in Connecticut? (Currently most, but not all, of Kid-U-Not's funds are reserved for donors with some connection to the state of Connecticut) *
Please acknowledge that you’ve read the disclaimers listed on our website (There is a "disclaimer" tab on www.KidUNot.org. Direct link: http://kidUnot.org/disclaimer) *
Required
I Understand that by submitting this form I am attesting that the information provided is true and accurate to the best of my knowledge. *
Required
A copy of your responses will be emailed to the address you provided.
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