We Look Forward to Helping You!

The Willamette Valley Cancer Foundation helps provide financial assistance to cancer patients and their families living in Lincoln, Tillamook, and Yamhill counties. Applicants must meet the following criteria to be considered for assistance:

  • Reside in Lincoln, Tillamook, or Yamhill County
  • Have a current cancer diagnosis
  • Be currently undergoing cancer treatment or be within the last six months of treatment
  • Demonstrate financial need

This online application is designed to help gauge eligibility and need. The application has two pages to complete. Many questions on the form require an answer. Once the application is submitted, you will be contacted by a staff member of the foundation for follow-up information. Proof of sources of revenue and expenses are required during this step.

If eligibility is confirmed, applications are presented to a review committee. The committee meets monthly to review the cancer diagnosis, treatment options, and impact on personal and household expenses expected due to the cancer treatment plan.

Financial need is determined by any shortfall expected to cover expenses. Funds can be used for mortgage/rent, utilities, transportation/gas, groceries, and prescriptions. Funds will NOT be used to pay for cancer treatment expenses. Any funds awarded are paid directly to the vendor. Payments are not disbursed to the applicant or the applicant’s family members.

Funds awarded are limited to $2500 annually and have a $ 5000-lifetime maximum.

The grants review committee considers numerous factors to approve awards and determine amounts. The following circumstances may adversely impact your application.

  • Owning a second home
  • Owning a business
  • Having a substantial retirement or investment account
  • Owning assets that can be sold to help cover expenses
  • Carrying excessive credit card debt

You are welcome to call the foundation office with questions about the form and submission process at any time. Our goal is to make this process as smooth and efficient for you as possible. Foundation staff can also help complete the online form if you cannot access a computer or the internet. If you need help, please call us at 503-435-6592.

Grant Application Form

Personal Information

Please enter the full date like xx-xx-xxxx
What is your source of income?
Treatment Type?

Household Information

Financial Information

Please mark your primary areas of financial concern.


This list outlines common documents many households have. Please identify which ones apply to you and provide us a recent copy by uploading them in the space below, emailing them to us, or dropping them off at our office.