Financial Application

Though we can’t assist every family, we do our best to assist as many as possible. We review all applications received based on immediate need and other factors in given situations.

Because of this, it is important that applications are filled out completely and accurately (please note that all application data is treated as confidential). Incomplete or erroneous applications may adversely affect the chances of being approved.

  • Be a resident of Nebraska and have a child with pediatric cancer (ages birth to 19 years)
  • Be a non-Nebraska resident and have a child who is being treated in Nebraska
  • Have a complete application on file with Angels Among Us
  • Provide the necessary financial documentation of the bills needing assistance

Download the application. Upon completion of the application, please give it to your hospital social worker or mail or email it to the address specified in the document.

Contact Information

Phone: 402 934 0999