Request a Gifting – Shield 23 Foundation

Gift Request Form

How to Submit a Gift Request

To submit a Gift Request, please download and complete the fillable Gift Request Form (this is not an application). Attach the required verification documents, sign the form, and email all materials to gifting@shield23foundation.org.

Eligibility requirements are that the firefighter is an active, retired, union, volunteer, or otherwise eligible member of the fire service and has received a diagnosis of cancer. Documentation verifying the diagnosis must be submitted with the Gift Request Form. We maintain strict confidentiality of all information submitted. A signed Release Form is required before any identifying information may be shared on our website, social media, or in other public communications.

Once received, the Gifting Committee reviews the Gift Request for completeness and submits a recommendation to the Shield 23 Foundation Board for final approval of the gifting amount. A representative for the recipient is then contacted to coordinate the gifting. Whenever possible, we prefer to present the gifting in person as part of the support we provide. Private gifting presentations may also be arranged when circumstances warrant. Gift presentations may include a check, challenge coin, S23F apparel, care items, swag, and other items as appropriate.

Have Gifting, will travel!

Important Update:

In an effort to respect and most effectively manage the funds available for Giftings, we will apply the following guidelines to those Gift Request Forms submitted on behalf of active (non-retired, union or volunteer) Firefighters diagnosed with cancer, and as funds are available:

First Tier Giftings: our highest priority, for Firefighters with Illinois Fire Depts

Second Tier Giftings: our second highest priority, for Fire Depts in states federally recognized as being in the Midwest (please contact us to learn where your state qualifies)

Third Tier Giftings: for Fire Depts not covered under the First or Second Tier Giftings