PEER Fund

Won’t Stop Employee Emergency Relief Fund

The PEER Fund was established to help eligible staff and their families with basic necessities during times of financial hardship due to circumstances beyond their control. Assistance is given at the discretion of the Peer Fund Committee. Assistance is not automatic. Where it is given, assistance is either granted or loaned. If assistance is made in the form of a loan, the loan is repaid at a sustainable rate agreed upon by both the Committee and the staff member and repayment is made via payroll.

While the PEER Fund is financed by the Company, it is also supported through voluntary staff donations which can be made at any time. There is no requirement to donate to the fund.

*The PEER Fund is open to all staff members after their first six months of employment, although circumstantial exceptions are made.

Contribute (Printable)

Contribuir

Name

First Name

Last Name

Current Address

Phone

Work Location

Date of Hire (as close as possible)

Please describe your emergency situation. Please include all relevant dates.

Are you currently or have you within the last 12 months received any financial assistance from the following sources: Worker’s compensation, short-term disability, long-term disability, insurance, state/federal agencies, non-profit agencies, fundraising efforts, or any other entity that is assisting you with your financial hardship. If so, please list the amount of money received and frequency of assistance.

Amount of financial assistance being requested from the PEER Fund

Are there dependents in your household? If yes, please list ages.

Are you or any of the above dependents are ill or immunocompromised, yes or no, (optional disclosure):

If the above answer is yes, what other income (child support, disability) is coming into your household, please list here:

PEER Fund

Won’t Stop Employee Emergency Relief Fund

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