It Can Be Easier

The Pink Wig Foundation raises money to help individuals and families that have been impacted by cancer. We can help build you back up. Our mandate is to assist women aged 16-50 in Saskatchewan who are currently suffering from cancer and/or undergoing cancer treatment.

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How To Apply For Assistance From Pink Wig

 

We give out financial assistance packages of $10,000 to select women in Saskatchewan currently undergoing cancer treatment aged 16-50.

Please fill in the form below to submit a request for assistance. We can’t help everyone who applies, but we’re always taking new requests. And if you apply now, there’s always a chance we may be able to help you at some point in the future.

We’ll be in touch with you soon after we receive your request.

Full out this form to apply for assistance. When we receive your request, we'll be in touch to learn a little bit more about you and how we can help.

Important Note: information sent to us through this form is secure. All traffic through our website is encrypted.

Your Name (required)

Your Email (required)

Your Phone Number (required)

I am applying for assistance on behalf of:

Name of the applicant (required)

Is the applicant between the ages of 16 and 50?
Yes

Age of the applicant (required)

Is the applicant a resident of Saskatchewan?
Yes

Applicant's home location (City, Street, Postal Code) (required)

Please tell us why you need our help (required)

Please include information for an alternate contact person. This person will only be contacted in the event we are not able to reach the applicant.

Alternate Contact - Full Name

Alternate Contact - Email

Alternate Contact - Phone Number

File Attachments

To help us with your application, we ask that you attach a number of files (see below) to this form. This is critical information that helps us determine how best we can help our applicants.

1) Please upload a photo or a scan of your Saskatchewan Driver’s License OR Provincial Health Card AND a piece of government issued photo identification

Saskatchewan Driver’s License (Max size: 1MB)

OR

Provincial Health Card (Max size: 1MB)

Government issued photo identification (Max size: 1MB)

2) Please upload a scanned copy of your most recent tax return (or notice of assessment) (Max size: 5MB)

3) Please upload a scanned copy of an official pathology report (Max size: 5MB)

4) Please upload a letter of reference from a medical professional (may include family doctor, oncologist, or Saskatchewan Cancer Agency social worker). Please have them include your oncologist name, work address and work phone number and the scheduled dates of your treatment, if applicable (e.g. surgery, chemotherapy, radiation, etc) (Max size: 2MB)

5) Please upload verification of any disability payments you are receiving (if applicable) (Max size: 5MB)

6) Please upload a copy of any other forms of insurance that you are currently receiving (if applicable)(Max size: 5MB)