Last Goodbye Assistance Program

Helping families honor their loved ones with dignity and care.

A Helping Hand Through Loss

Losing someone you love is never easy, and worrying about funeral expenses can make an already difficult time feel even more overwhelming. The Last Goodbye Assistance Program is here to offer a helping hand when families need it most.

Families of Pink Helping Hand recipients may request up to $2,000 in financial assistance to help with funeral and memorial expenses. Our hope is to ease some of the financial burden, giving families more space to grieve, remember, and honor their loved one in a meaningful way.

During this difficult time, you don’t have to navigate everything alone. We’re here to help with compassion, dignity, and care.

Apply for Assistance

We understand how overwhelming it can be to manage funeral or memorial expenses while grieving the loss of someone you love.

If your family may qualify for support through the Last Goodbye Assistance Program, please complete the form below. Our team will review your request with compassion, care, and respect for your privacy.
We’re here to help make this difficult time a little easier.

Application for Last Goodbye Assistance

1. APPLICANT INFORMATION

First Name

Last Name

Address

Street Number

City / State

Zip Code

Phone Number

Proof of Identity
Accepted formats: PDF, JPG, JPEG, or PNG

2. DECEASED INFORMATION

Full Name of Deceased Recipient

Date of Passing

Proof of Recipient’s Passing (e.g., death certificate)

Brief Description of Recipient’s Association with United Colors of Pink

4. APPLICANT STATEMENT & SIGNATURE

Sign

I, the undersigned, declare that the information provided in this application is true and accurate to the best of my knowledge. I understand that the funds provided under the Last Goodbye Assistance Program are intended to honor the legacy of Pink Helping Hand recipients and must be used respectfully.

Applicant Signature:

Date