Family Assistance Application

• FARS funds applicants up to $3,000 for one year for services, including therapy, medical, SWIM safety (Not recreational swimming.)
• (Max amount of $3000 includes all applications applied for in the same year. Applicants may apply for a one-time award for three months of safety swim courses up to $600.)
• Mandatory attendance of at least two of the three options within  60 days of receiving an award: Caregiver Empowerment Session   H.O.P.E Session  FARS Awardee Volunteer Opportunities

*****Re-applications can be submitted within the same year if the maximum award amount has not been met. However, applicants who have been previously denied must wait three months before reapplying. 

Quick Assist Application

• Apply for a one-time request of $500, or less, with Quick Assist (QA). QA provides immediate funding (within three to five business days) for urgent autism related needs.
• Mandatory attendance of at least two of the three options within  60 days of receiving an award: Caregiver Empowerment Session   H.O.P.E Session  FARS Awardee Volunteer Opportunities

APPLY HERE

*Hope For Three will only pay a portion toward future sessions for any applicant applying for continuing sessions. An applicant must re-apply for funding for each new session using the Swim Safety Courses Application (Not recreational swimming) or through a monthly Family Assistance application (awarded monthly). Parents/caregivers are responsible for any balance due to the Swim School. ($600 max first year, $300 max following re-applies with noted progress in swim safety skills)

JotForm is a HIPAA-compliant PC and mobile phone-compatible platform.

PDF Version is available upon request!

⦁ Incomplete applications are not funded. Please complete all required information and provide supporting documentation for each application.

⦁ The submission date is determined once the application is completed and all required documents are submitted and approved.

⦁ Hope For Three will not pay for services or previous invoices before an award for financial assistance is issued.

⦁ An applicant receiving financial assistance agrees to repay monies if Hope For Three services are paid or reimbursed by another funding source, such as an insurance company or another non-profit.

⦁ Applicants receiving assistance must attend two Parent Empowerment sessions (of your choice) in a 60-day period to receive, or continue to receive, financial awards from Hope For Three Family Assistance and Resource Support programs. Sessions are required for each award received as well as Quick Assist awards.

Re-applications can be submitted within the same year if the maximum award amount has not been met. However, applicants who have been previously denied must wait three months before reapplying. 

To protect your individual’s identifiable health information, please submit all electronic applications via the Jotform application. However, electronic submissions can also be emailed to familyassistance@hopeforthree.org

You will receive a confirmation email upon receipt of your application.

If you have not received a reply/confirmation within three (3) business days, please follow up by phone at 281.245.0640 or email familyassistance@hopeforthree.org

In-person visits require an appointment. Please email familyassistance@hopeforthree.org to schedule.

Please do not drop off paperwork at our physical address.

Hope For Three continues to work remotely and is not present to accept your confidential paperwork. Call 281.245.0640 for more information.

Application Schedule:

SUBMIT APPLICATION OR INVOICE HERE

Please note: The application submission date starts as soon as the application is complete. If your application is approved, the individual will receive a financial award. This award may or may not be the requested monetary amount. Family funding is determined by the provider’s quote and anonymous Board Member votes. Recipients are notified via email or telephone by a Hope For Three Family Assistance department member.

Family Assistance Requirements:

⦁ Completed Family Assistance Application

⦁ Copy of Previous Year’s Tax Return

⦁ Proof of Applicant Diagnosis

⦁ Proof of Fort Bend County Residency (Photo ID Not Accepted: Must be in the form of a utility bill, mortgage, IEP document, etc.)

⦁ A quote on letterhead from a service or provider for the applicant requesting funding and EOB when asking for assistance with Co-Pay and Out-of-Pocket

⦁ Evaluation and goals of requested services from the service provider on letterhead.

⦁ Mandatory attendance of at least two of the three options within 60 days of receiving an award:  Caregiver Empowerment Session   H.O.P.E Session  FARS Awardee Volunteer Opportunities

*Funding is only paid to an approved service provider, treatment facility, assessor, or supplier. Hope For Three’s Family Assistance Committee will have final authority on each financial award.

Examples of FARS Approved Autism Related Services include: Day Habilitation Programs,  Swim Safety Lessons, Legal Guardianship Fees, Licensed Respite Providers,  and other autism related therapies recommended by a physician or licensed professional. Inquire within for more information.

If you need assistance with personal finances and/or for daily living expenses in emergencies, please visit www.modestneeds.org, or contact  Fort Bend County Health & Human Services.

Hope For Three reserves the right to change, edit, or update information and policies without notice.
*Should this obligation not be met within 60 days of receiving a financial award, Hope For Three may deny future funding.*

The Family Assistance and Resource Support (FARS) programs was established to:

• Bridge the gap between high-quality providers and affordable care for family members at the earliest stage of life possible.
• FARS aims to improve the life outcomes of individuals with autism and their families.
• Resources and referrals are provided to any inquiring parties regardless of location.
• Inquiring individuals may be redirected if services for requested funding are identified as free of charge through alternate community partners.

Hope For Three prioritizes families with multiple children on the spectrum when funding is considered. Payments are paid directly to approved professionals, including service providers, treatment facilities, diagnosticians, or vendors, and never to a parent or caregiver.

In need of resources or referrals? Click HERE for valuable information.