Request Assistance from the Phaneuf Family Foundation

To ensure the Foundation’s funds go to those most needing assistance to carry out a dignified farewell, applicants for Foundation grants should apply and be approved for welfare assistance. In New Hampshire, that application is made to your city or town; in Vermont, applications go to the state. Foundation grants are most often approved to make up the difference between what welfare covers and the cost of a funeral or cremation. The maximum grant amount is $1,000. In special circumstances, Foundation funds may be used for non-welfare situations, at the discretion of the Foundation.

You can download an application here or submit the form below.

The foundation’s maximum distribution amount to any one request by a family, organization or student will not exceed $1,000. Donations are eligible for deceased residents of the states of New Hampshire and Vermont, and the donations can be used to cover funeral- or cremation-related costs, ranging from a transportation fee to a complete cremation.

Requests for distributions for a cremation or funeral may be made by a family member, friend, funeral director, social worker, hospice or nursing home employee or other interested party.

Requests for donations to hospice or caregiver organizations should be made by the director of the hospice or caregiver organization.

Requests for scholarships should be made by the student.

Date of Request*
MM slash DD slash YYYY
Deceased Information
Name*
First Middle Last
Date of Birth*
Date of Death*
Address*
Street Address Address Line 2 City State ZIP Code
Donations are eligible for deceased residents of the states of New Hampshire and Vermont, and the donations can be used to cover funeral- or cremation-related costs, ranging from a transportation fee to a complete cremation.
Place of Death*
Funeral Home Being Used (must be in NH or VT)*
Funeral Director (If Known)
Applicant Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Format: (###) ###-####
Email Address*
Relationship to Deceased*
Welfare Applied For?*
- Yes
- No
Amount Requested
Reason for Application*
For example: assistance with paying for the cremation, merchandise, other services
How did you hear about us?*
Electronic Signature
(In accordance with RSA 294-D New Hampshire Digital Signature Act)
Full legal name*
Please type the full name a second time to confirm*
Your application will be reviewed by the board, which will provide its decision within 1-2 business days. Requests for donations must be submitted via this application.
Phone
This field is for validation purposes and should be left unchanged.

A NH 501 (c) 3 organization

info@phaneuffoundation.org

(603) 625-5778

243 Hanover St. Manchester NH 03104

Request Assistance from the Phaneuf Family Foundation

You can download an application here or submit the form below.

Deceased Information

Applicant Information