Application Checklist

  • 1 Review the Grant Assistance Guidelines and the Application Checklist first.
  • 2 Go to Start Application Process, Step One - Preliminary Application and submit online.
    • A representative of the Grant Committee will contact you within about 24 hours to discuss next steps.
  • 3 Go to Start Application Process, Step Two - Full Application, and fill out completely including all information regarding family members living with you, all incomes in the household, etc. Incomplete Applications may be denied.
  • 4 All of your income and expenses must be listed on the Application, not just those invoices which you are requesting assistance for. You must provide a clear financial picture for the Grant Committee to base a fair and equitable decision on your request.
  • 5 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, police report, insurance appraisal, etc.) and what caused the incident.
    • Copies of your last two paychecks (Copies can be obtained from UKG, or, if necessary, 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).
    • If the Committee has requested proof of Financial Responsibility for an individual other than your immediate family (spouse or children), then provide a copy of your most recently filed 1040, 1040A or 1040 EZ Income Tax Return (do not include Schedules).
  • 6 Please return the application with all supporting documentation to the Rollins Employee Relief Fund by scanning and emailing it directly to the Committee Rep that you are working with OR to: RollinsEmployeeRelief@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 discuss with your Committee Representative.

Questions about your application?