Hormel Foods Corporation Crisis Assistance Relief Effort (CARE) Fund Application

The Crisis Assistance Relief Effort (CARE) Program
Care Logois designed to help U.S.-based team members of Hormel Foods and its subsidiaries who are experiencing a financial hardship that is directly caused by a qualifying crisis event impacting them and/or an eligible immediate family member*.

 

Qualifying crisis events fall into one of the following five categories:

  1.        Fire (affecting home/residence)
  2.        Natural Disaster (affecting home/residence)
  3.        Medical (serious/catastrophic illness, injury or health event)
  4.        Catastrophic/Life-Altering Tragedy/Event (non-medical)  
  5.        Funeral

The occurrence of the crisis event (or the occurrence of the most recent incident relating to an ongoing situation; such as cancer treatments, for example) that caused the financial hardship must have occurred within 60 days of the date the application is submitted.

 

Documentation proving the crisis event and the financial hardship is required and should be uploaded when you fill out this application.

 

*For purposes of the CARE Program, eligible immediate family members must meet the definition of an eligible dependent as outlined in the Hormel Foods Health Care Plan Summary Plan Description. This includes lawful spouse, domestic partner, and children up to age 26 (natural-born, legally adopted, under legal guardianship, and stepchildren). An exception to this definition applies solely in the case of funeral expenses. In such instances, the definition of immediate family member is expanded to include the deceased parent or step-parent of an active team member, provided the team member is financially responsible for their funeral expenses AND paying the funeral expenses causes the team member a financial hardship.

 

A maximum grant of up to $2,000 may be given to eligible applicants contingent on the appropriate documentation being submitted. There is a limit of two grants for separate crises; totaling no more than $4,000 in a 12-month period.

 

Situations/expenses that are NOT ELIGIBLE (not all-inclusive):

  • A financial hardship that is not directly caused by a qualifying crisis event (a financial hardship by itself is not a qualiying crisis event) 
  • Medical expenses, bills or health insurance premiums (NOTE: medical travel expenses are eligible)
  • Pet care
  • Home repair expenses not directly related to a qualifying crisis event (such as damage from a natural disaster)
  • Vehicle maintenance/repairs/replacement
  • Citations, fines or expenses related to driving under the influence of alcohol or other drugs
  • Gambling debts
  • Litigation/legal expenses
  • Funeral travel, travel related to visiting sick relatives, and travel expenses to any foreign country (NOTE: This does not apply to the transportation of a deceased individual’s remains to another state or country for burial purposes, as such expenses are considered part of the overall funeral costs.)
  • Lost wages/reduction in income (this includes, but is not limited to: reduction in work hours or pay for the employee or their lawful spouse/domestic partner for any reason, loss of lawful spouse/domestic partner’s employment, divorce, unpaid time off from work for any reason including the gap in pay for someone on a leave of absence)
  • Events that occurred or expenses that were incurred more than 60 days before the date the application is received, prior to the team member’s date of hire, or that have already resulted in an awarded grant
Team Member Information




Mailing Address: Street and/or PO Box, City, State and Zip Code


Please provide your contact information: (Oppty detail - grant app)







*Immediate family member definition: lawful spouse/domestic partner**, unmarried dependent children, unmarried dependent step-children**, or children for whom the team member is deemed to be the legal guardian. In cases of death, this definition also includes the team member’s birth or step-parents. **"The definition of domestic partner and/or dependents, as found in the Hormel Foods Health Care Plan Summary Plan Description, will be used to determine or clarify dependent status, if necessary. Verification of relationship may be required, such as marriage license, birth certificate, tax return, etc."

*Immediate family member definition: lawful spouse/domestic partner**, unmarried dependent children, unmarried dependent step-children**, or children for whom the team member is deemed to be the legal guardian. In cases of death, this definition also includes the team member’s birth or step-parents. **"The definition of domestic partner and/or dependents, as found in the Hormel Foods Health Care Plan Summary Plan Description, will be used to determine or clarify dependent status, if necessary. Verification of relationship may be required, such as marriage license, birth certificate, tax return, etc."

Beneficiary Contact Information:
Other Relationship to the Team Member:
Lawful Spouse or Domestic Partner Contact Information:
Active Team Member Contact Information:










Crisis Event: provide as much detail as possible  

NOTE: Please ensure you have read the information at the top of this page regarding eligibility. If you are not sure whether your situation may qualify for a CARE grant, please email your questions to care@hormel.com or reach out to your Human Resources representative for assistance prior to applying.






Enter the date the qualifying crisis event first occurred or began.

Minimum is $500; Maximum Award is $2,000 - Please enter the amount without the dollar sign (e.g., 500.00 instead of $500.00). You will need to provide documentation that supports the amount requested.







Abbreviation

After clicking the “Review and Submit” button below, read the signature agreement and complete the signature page. You will then receive an email and you must confirm your signature using the link in that email. The grant application is not considered signed until you confirm the signature from the email you receive. The CARE fund administrator will then start reviewing the application. If all of the required information was provided, you should receive the decision by mail within 10 business days.

Southwest Initiative Foundation is a nonprofit community foundation connecting people, investing in ideas and building communities to create a Southwest Minnesota where all people thrive. Learn more at swifoundation.org.

Accredited seal

Southwest Initiative Foundation | 15 3rd Ave NW Hutchinson, MN 55350 | (320) 587-4848 | info@swifoundation.org
Copyright © 2020 Southwest Initiative Foundation, an equal opportunity provider and employer.