The two document links below are required to be filled out by the parent(s) or legal guardian(s) of a seriously ill child age 18 or younger residing in Albany, New York's Capital Region. These documents are assessed by our Board of Director's with approval based on financial need of the family and confirmation of the information submitted.
Please mail the completed application and authorization form along with photos of your child to:
ACCF For Children's Benefit
C/O John R Smith
806 Huntingdon Drive
Niskayuna, New York 12309-4906
(Items may also be e-mail to John Smith at accfcb@nycap.rr.com)
Click on link below for forms:
