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: 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: :

Questions about your application?