If you would like Community Benefit Tree's assistance you MUST complete the following paperwork.

Step 1

Recipient Application

First you will need the recipient or family member to fill in the following form Application.pdf. Please make sure it is completely filled out or it will be returned.  FISCForms.pdf and website is www.fisc-cccs.org.

Step 2

Benefit Agreement

We will also need the committee member who we call the "Head of the Benefit" someone who will be in charge of the benefit to fill in the following agreement form BenefitAgreement.pdf.  Again make sure it is completely filled out or it will be returned.

Please make sure you read everything carefully and if you have any questions please feel free to call at (920) 422-1919 or email Heidi at heidifrederickson@communitybenefittree.org. If you would like we can set up a time to go over the forms before you sign and fill them out again just call or email Heidi.

By filling in the following application and agreement you are ensuring us that your recipient is someone who is real and has a real need and the agreement lets us know that the committee wants our help and is willing to follow the rules and regulations of the Community Benefit Tree.  After filling out the forms, you can email them to heidifrederickson@communitybenefittree.org , fax it to (920) 766-4387 or mail it to Community Benefit Tree, W3494 Dundas Rd, Kaukauna,WI 54110 making sure you have ALL the forms and letters submitted together. 

Process: After having received the agreement,application and the two referral letters, the Board will look it over for approval. This will take 5 to 7 days.  Once approved, we will be in contact with you to start assisting with your benefit.  Any questions can be directed to Heidi at the above email or phone number.