Nomination Form

Nomination for a James Cook Relief Fund Grant Award

  1. Eligibility for grants shall be limited to members of the Association in good standing or spouses, active employees of the Service, retired or former employees of the Service who had at least 10 satisfactory years with the Service and active volunteers who have performed at least 1040 creditable volunteer hours with the Service during the 12-month period immediately prior to the event for which the grant is being considered. Grants may be awarded posthumously within one year. Association members shall be given priority in the approval of grants.
  2. Grants may be awarded in cases involving financial hardship due to major medical
    expenses, destruction of the home due to fire or other natural disaster, and other similar causes deemed appropriate by the Committee. Only one grant may be awarded to an individual for any single cause during any 12-month period.
  3. No single grant shall exceed five (5) percent of the balance of the Corporation account when the balance is less than $10,000.00. When the Corporation account balance is greater than $10,000.00 no single grant shall exceed $1,000.00.
    Nominations for grants may be made by anyone to the President, either directly or
    through any member of the Board, except that no one may nominate him- or herself.
  4. The Committee shall consider each nomination and determine the amount of the grant, if any, by unanimous vote. The Committee Chair shall notify the President of the Committee’s recommendation in writing. At the direction of the President, if approved, the Treasurer shall write a check for the approved amount.

The James Cook Relief fund Committee will investigate all nominations to the best of their ability to ascertain a genuine financial hardship and recommend relief accordingly.  Please remember that the illness, injury or property loss itself does not necessarily constitute a financial hardship especially if the employee has insurance covering most of the cost or has personal means to finance the situation.  The fund is not intended to reimburse for ordinary expenses or losses but to assist those who will suffer a real financial hardship because of the situation.

Email completed form directly to the current FPSAA President.

Click here for a James Cook Fund Grant Nomination Form