“From the moment we heard about the Children’s Organ Transplant Association (COTA) we had HOPE. Before we knew COTA existed we were so worried about how we would ever be able to pay for a double lung transplant and relocation to another state and medications and the list went on. Once we started working with Read More
Household Assistance is COTA's way of assisting with a transplant familys unpaid monthly bills for the primary residence at the time of transplant when there is an unpaid leave. When there is a loss of income, COTA may be able to help with some household expenses depending upon the amount of income lost. To determine the amount of assistance, this form must be completed. All amounts added should be the monthly amount/average. Food, gas, and other incidentals incurred at transplant should not be included in the household expenses, as they may be able to be submitted to COTA in another capacity.
The following is needed in order to begin the process:
Password from Family Services which is provided during the Family Orientation
Copies of each bill or bank statements listing all bills that will be included on the form
Recent paystubs for all wage earners or documentation of income (SSI, Child Support, etc.)
Letter from employer stating the start date of the leave and that it is "unpaid"
If you have already received authentication information from COTA please click continue.
To request access click 'Contact Us' or call us at 800.366.2682.