GAL Request – Children's Guardian Fund

Guardian ad Litem request for Funds from the Children's Guardian Fund

While the Safe Children Coalition on behalf of the state provides daily needs for children in dependency, the Children's Guardian Fund may provide funding assistance for enrichment items.

Please complete this preliminary form to submit your request to the Children's Guardian Fund office:

GAL Name:*
Guardian ad Litem CAM:*
Child's first name:*
Child's last name:*
Child's DOB:*
Child's age:*
Your email address:*
Amount of request:*
County in which this case originates.*
County in which the child is currently placed.*
Placement zip code.*
Placement - foster home, group home, shelter, non-relative caregiver, relative. (If a relative, describe the relationship, i.e., M (mother), F (father), GPs (grandparents), GMA (grandma), aunt, etc.)*
Description of how the funds are to be used (provide backup for camps, sports, etc.):*
Other sources explored?*
Does this child receive Social Security benefits?*
Check to be made out to:*
Check to be mailed to:*
This is your mailing label. Please be sure name and complete address, including zip code, are correct.

Name: Address: City State ZIP Code
File Upload
Please supply backup documentation, such as a PDF of the camp flyer, proof of cost of item, receipt, etc. This can be a PDF file, picture (.JPG, .GIF, .PNG, etc.), or a Word document.
Please allow two weeks to process your request. This request will be forwarded to your CAM for approval.