Human Good Fund Request Help / Nominate Form

Request Help or Nominate Someone

Human Good Fund reviews requests for practical help. AI helps decide how available funds are used. A human operator verifies requests before any money is sent.

Privacy notice:
Your privacy matters. Please do not include Social Security numbers, account numbers, passwords, medical records or other sensitive personal information in this form. We only ask for additional verification when it is necessary to review a request.

Are you requesting help for yourself or nominating someone else?

I am requesting help for myself

I am nominating someone else

What type of help is needed?

Tell us briefly what help is needed.

A short explanation is enough. Please do not include sensitive personal information.

How much money would solve or meaningfully help with this need?

Enter your best estimate in US dollars.

How soon is the help needed?

What would happen if this need is not addressed?

Can the expense be paid directly to a business or service provider?

Yes

Not Sure

How could this need be verified?

Examples include a bill, estimate, invoice, appointment confirmation or contact information for the business involved. Do not upload sensitive documents at this stage.

Have you already received help for this same need from another organization, fundraiser or person?

Yes

Partially

What city and state is the person needing help located in?

Your name

Your name will remain private.

Your email address

Best phone number

Required Agreements

I understand that submitting a request does not guarantee assistance.

I confirm that the information I provided is accurate to the best of my knowledge.

I understand that Human Good Fund may request additional information to verify the need before any payment is made.

I understand that Human Good Fund may publish an anonymous record of assistance provided including the amount, general purpose, selection method and outcome. My name and identifying information will not be published.

I understand that receiving assistance does not require me or the person I nominated to appear in photos, videos, testimonials or other public content.