Grant Application

Grant Applicant

Ticked Off Lyme Foundation Inc. is dedicated to supporting individuals affected by Lyme Disease in Iowa by providing financial assistance for treatment, testing, and other related expenses. Our grant program is designed to help those who face financial barriers in accessing necessary care.

Please read the application carefully and provide complete and accurate information. Incomplete applications may not be considered.

We will accept applications NO LATER THAN OCT. 15, 2025. Grants will be released mid-November 2025.

For questions, please contact us at: tickedofflymefoundation@outlook.com

We appreciate your time and look forward to reviewing your application. Thank you for fighting the fight of Lyme disease – WE see you, WE support you, and WE are here to help.

Sincerely,
Ticked Off Lyme Foundation Team

Contact Information

Medical/Diagnosis Information

Supporting Documentation

To process your application, please submit the following documents:

• A letter from your healthcare provider confirming your Lyme diagnosis and the necessity of treatment or a treatment estimate or invoice from your provider for the expenses you are seeking assistance with, and
• A personal statement sharing your Lyme journey and how this grant would impact your health (only if we do not already have your journey in writing).

Agreement & Signature

By signing this application, I confirm that all information provided is accurate and complete to the best of my knowledge. I understand that submitting false information may disqualify me from receiving assistance.

I acknowledge that funding is limited, and applications are reviewed based on need, available funds, and alignment with the foundation’s mission.

If you are selected for a grant, you are required to sign an online pledge form to provide feedback and verifying use of funds. We require the submission of receipts.