Request Special Needs

In continuing the mission of the Children’s Foundation of Las Vegas to support the unmet needs of children who are or have been in foster care, this application to request special needs should be used by Foster Parents and Caregivers to children in foster care to request items, lessons, tutoring, and activities or travel on the child’s behalf. Please note the following guidelines. We do not provide reimbursement. If the item or activity has already been paid for, please do not make a funding request. We do not pay individuals but send checks to businesses only. We cannot approve a request without documentation so make sure to attach proof of the cost of the activity or item. Since we would like to fund requests for as many children as possible, only one request per child will be considered in a two-month period. Finally, after all the necessary documentation is received, please allow 7-10 days for us to process this request.

Request Special Needs

Date of Request*
MM slash DD slash YYYY
Request Date Deadline*
MM slash DD slash YYYY
Amount of Request
Child Identification Number*

(If unsure, contact child's case worker for information)
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Child's Name
First Last Initial
Child's Age
Child's Gender
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Date of Birth
MM slash DD slash YYYY
Person Requesting Funds
First Last
Relationship to Child
Phone Number
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Cell Phone Number
Email Address
DFS Caseworker's Name (For Confirmation Use Only)
First Last
DFS Caseworker's Email
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Caregiver's Name
First Last
Phone number for program or venue requested
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Caregiver's Cell Phone Number
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Caregiver's Email Address (For confirmation use only)
Funding Category:*
Request Description
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CHAFEE Eligibility
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Phone number for program or venue requested
Contact Person at Program or Venue
If approved make check payable to (Program or Venue Name)
Street address to mail check to (Program or Venue)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Proof of Activity (Please do not provide anything that contains personal or confidential information in order to be compliant with NRS 432B.280.)
Drop files here or

Max. file size: 100 MB, Max. files: 5.
This can include Program Schedule, Flyer of Venue, and Program Information.
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History of the Children's Foundation of Las Vegas

Up until 2022, The Children's Foundation of Las Vegas, formerly known as the CASA Foundation, was established in 1983. Our mission is to identify and fund the unmet needs of abused and neglected children who are in or have been in foster care in Clark County, NV. New Name, Same Heart.

CONTACT

702-588-2272

info@cflv.org

4045 South Buffalo Drive

Suite A101-160

Las Vegas, NV 89147