Application Checklist

  • 1 Fill out the Preliminary Application and submit online.
  • 2 A representative of the committee will contact you within 24 hours to discuss next steps.
  • 3 Completely fill out the full application, including all information regarding family members living with you, all incomes in the household, etc.
  • 4 Submit copies (not originals) of the following along with your application:
    • Documentation regarding your emergency situation (e.g., copy of local fire department report showing proof of fire, insurance appraisal, etc.) and what caused it.
    • Copies of your last two paychecks (Copies can be obtained from HR or Payroll).
    • Copies of approved documentation for FMLA, Supplemental Security Disability Insurance (SSDI) and Worker’s Compensation, if applicable.
    • Copies of all invoices for which you are requesting payment, where applicable (requests will not be considered without the invoice).
  • 5 Please return the application with all supporting documentation to the Rollins Employee Relief Fund by scanning and emailing it to: RollinsRelief@rollins.com In order to avoid documents being lost in the mail, this is the preferred method of submission. If you need to send something by mail, please send to the following address:

Mail to:

Rollins Employee Relief Fund
Attn: Lisa Quattro
2170 Piedmont Road, N.E.
Atlanta, GA 30324

email: :  RollinsRelief@rollins.com

Questions about your application?