You will need to submit documentation that reflects the impact of this incident on you and your household.
There are different types of documentation that you can send. Choose the option that is easiest for you.
Natural Disaster: Photographs, insurance reports, FEMA documentation, or other proof of loss is required.
Life-Threatening or Serious Illness or Injury: Completed FMLA paperwork, treatment summary, discharge papers, patient responsibility form, or other medical documentation will be required.
Death Incident: Copy of the death certificate, obituary or other documentation along with proof of your financial impact will be required.
Catastrophic or Extreme Circumstances: Police, Fire or other official incident report may be required.
If you are not sure what to submit for your application, please contact us and ask for assistance with The Mapco Employee Care Program.
SUBMITTING YOUR DOCUMENTATION
Below you can upload up to 6 files such as photographs or scanned documents. Once you upload your first document, you will be given an option to upload additional items.
You can submit your documentation separately from your application by fax to 615-327-2746 (except photographs), by mail, or by email to EmergencyGrants@cfmt.org with your name in the subject line.
Include your name with anything you send so that it can be matched with your application. Make copies of anything you send to us by mail before you send it to: The Mapco Employee Assistance Program, 3421 Belmont Blvd, Nashville, TN 37215