Golisano Life Enhancement Fund Process and Forms

Process

1. Applications are reviewed as received.

2. An acknowledgement of receipt will be forwarded within five business days.

3. If a request is approved, an authorization letter is forwarded to the community professional who will arrange to purchase the item.

4. Once the item is purchased, the community professional must forward a copy of the receipt, proof of payment and the authorization letter no later than 90 days from the approval date to the Future Care office for reimbursement.

5. Future Care will issue a reimbursement check made payable to the agency.

GLEF Letter

GLEF Cover Page (fillable pdf)

GLEF Application (fillable pdf)

Please send to:

B. Thomas Golisano Life Enhancement Fund
Future Care Community Pooled Trust
1000 Elmwood Avenue, Suite 500, Rochester New York 14620-3098

Or email:

golisanofund@futurecareplanning.org

Fax: 585-210-4048

Questions? 585-402-7840, ext. 0