Apply for serious illness relief

In today's social life, application is closely related to our life. Through the application, we can make our own requests. So how to write related applications? The following is the application for serious illness relief collected by me for your reference only. You are welcome to read it.

Application for serious illness relief 1 application for serious illness relief

Hefei labor model association

Cao Chuanlan, a 77-year-old resident of Hexian Neighborhood Committee, is an old employee of Hefei Tire Refurbishment Factory, a former state-owned enterprise, and retired after enterprise restructuring. 20xx was seriously ill in March and was examined by the Cardiovascular Department of Anhui Provincial Hospital and Hefei First People's Hospital. Finally, on June 2, 20xx, the specimen was examined by "tissue section" and sent to Shanghai Cancer Hospital for diagnosis as malignant lymphoma.

From March to hospitalization for more than 4 months, * * * has paid 35,000 yuan (excluding medical insurance advance). As of August 12, the applicant Cao Chuanlan and his family were really unable to pay the huge treatment expenses in the later period.

At present, the applicant's condition is still developing and he has been admitted to the Affiliated Hospital of Anhui Medical College for treatment. The hospital told us that we need radiotherapy and chemotherapy for six times, and now we have done chemotherapy twice, and each time we need to pay 12000. 13000 yuan. The applicant and his family can't support the current treatment expenses, and they need strong relief from trade unions and civil affairs departments to solve the applicant's difficulties.

There are only two applicants and their families. Her husband Li is 82 years old. He is an old worker in the transportation system and retired at a young age. Their retirement pension is only 2700 yuan per month, which is not bad for their daily life. However, if you pay huge medical expenses for tumor treatment in the later stage, you can't survive.

Li, the family member of the applicant, is not unable to survive because his wife is seriously ill, nor will he apply for relief from the trade union and the government. There is really no way to solve the practical difficulties.

Therefore, I urge the leaders of the Municipal Writers Association to support and care for Enshi assistance and let the applicants continue their treatment.

I am here to convey

Applicant: Li Caochuanlan 20xx August 12.

Application for serious illness relief 2 Dear leaders of the Civil Affairs Bureau:

My name is xxx, and I am x years old this year. I am a villager in Group X of xx Village, xx Town. There are x people in my family, namely. I suffered from a serious illness in xx, and was treated in xx, xx and other cities successively. Now I have spent more than xx yuan on medical expenses. At present, I am still undergoing chemotherapy, and the cost of chemotherapy is xx yuan. Husband xxx, in poor health, works in the construction team and earns some money by lifting mud for others. My mother-in-law is old and in poor health this year. She suffers from X disease and often takes medicine. My son xx was admitted to senior three in XX, and dropped out of school at home after a period of time because he couldn't afford the tuition.

At present, my family only lives on X mu of land and my husband's income from selling labor. In particular, I have to continue chemotherapy, which requires a lot of money. At present, it has borrowed 36,000 yuan from relatives, friends and neighbors. What should we do next? where is the money to come from? I can't imagine. Recently, I am Lacrimosa. I can't eat or sleep. Under very difficult circumstances. In this case, I thought of the party, the government and the Civil Affairs Bureau. Here, I summon up the courage to apply to the Civil Affairs Bureau: to ask for organizational funding to help me continue to see a doctor. I am very grateful. I thank the organization for helping the elderly and young people.

I am here to convey

Salute!

3. lianghe county Civil Affairs Department's application for serious illness relief:

My name is xxx, male, Han nationality, 23 years old, from lianghe county, now living in Walnut Village, lianghe county.

I have been suffering from congenital heart disease since I was a child, and I have been seeking medical treatment everywhere for many years, relying on drugs to control my illness and maintain my life; Since July 20xx, I have often coughed with blood in my sputum, accompanied by chest tightness, abdominal distension, dull pain in my liver and other symptoms. After hospital examination, I have been hospitalized in lianghe county Hospital and Dehong State Hospital for several months, and my condition is very unstable. Because I can't afford expensive medical expenses, I can only go home from the hospital and do simple Chinese medicine treatment in the countryside.

Doctors suggest that Chinese medicine treatment is not a long-term solution, and it can only be cured by surgery, but the surgery and other expenses arising therefrom are estimated to cost more than 100,000 yuan. This is undoubtedly an astronomical figure for a rural family. In addition, it has spent more than 70,000 check-up and treatment expenses in the early stage, and it has been heavily in debt. In order to help me cure the disease, my elderly parents have been working outside for a long time and scrimped. However, the money saved is a drop in the bucket compared with the expensive medical expenses.

In view of the above situation, in order to collect surgical medical expenses as soon as possible to prolong my life, I sincerely ask the Civil Affairs Bureau for help!

I am here to convey

Salute!

Application for serious illness relief 4 Dear leader: Hello!

My name is Hu Tao. I live in Tuwan Formation, baiyang village, Qiaoziwan Township, Sangzhi County. I am a student of Grade 5 168 in Qiaoziwan School in Sangzhi County.

20xx65438+February, due to physical discomfort, I went to Sangzhi County Chinese Medicine Hospital and People's Hospital for examination, and I was unable to make a diagnosis. My father took me to Hunan Children's Hospital for examination and diagnosed nephrotic syndrome. At that time, the treatment cost more than 50 thousand yuan. However, this disease cannot be treated at one time, and it is a long-term process, and it still needs about 1500 yuan medical expenses every month. If the house leaks, it rains all night. In 20xx, 65438+February, a big fire burned all my family's property. My mother couldn't bear the weight of my medical expenses, house reconstruction and other expenses and left me. There is no news now. All the burdens are piled on my father, who is very weak in working ability, deeply hit and a little insane. Because I still need treatment, the whole family needs a shelter from the rain. My father let me live in a shack with my elderly grandmother and go to work in other places. With the help of leaders and uncles and aunts, a very humble house was built in Yu Jiancheng at the end of 20xx, and the facilities inside were donated by relatives and friends.

Faced with my huge medical expenses, my parents can do nothing. I want to study, I want to be healthy, and I want to repay the society with a better body. I knelt down and asked the leader to give me disease relief. I wish all uncles and aunts good health and all the best!

I am here to convey

welcome

Applicant: Hu Tao.

20xx April 14

Application for serious illness relief 5 Dear superior leader:

My name is xx, male, X years old, and my ID number is xx. I live in X Group, X Village, X Town. I have always been law-abiding and thrifty. Although I have a 70-year-old father, a young son who is at school, and a wife who has been ill for many years and can't work, I have been a bricklayer for many years, making a living by scrimping and saving. At present, because of colon cancer, hospitalization and surgery have cost nearly 40 thousand, and the seventh chemotherapy in the later period needs nearly 30 thousand, which makes the already difficult family worse. In addition, I have kidney calculi and gastric ulcer, and I need further treatment, but I still need to rest for a long time after operation, so I can't go out to work to earn money. Therefore, I hereby request the superior government to provide assistance to solve my minimum living allowance, relieve my pain and make my family out of danger. My family and I will be very grateful. I hereby report and hope for approval.

I am here to convey

Salute!

Applicant: XXX

Date of application: XXXX, xx, xx, xx.

6. Application for serious illness relief from the civil affairs department:

I am xxx, female, xx, aged xx, and live in xxx village.

20xx 10 menstrual cycle Zunyi Medical College and Chongqing Southwest Hospital were diagnosed with rheumatic heart disease and calcified heart valve, so heart surgery must be done immediately to replace the heart valve. So, I was admitted to Zunyi Medical College in 20XX, and had a heart valve replacement operation in 20xx in XX. In Zunyi Medical College, I was hospitalized for XX days and spent more than XX million. Because this kind of surgery still needs regular examination and lifelong medication, the cost of follow-up treatment is also a bottomless pit.

Because my family lives in the countryside and has no financial resources, the previous surgical treatment left my family in debt and I lost my ability to work. My family is already overwhelmed. What about follow-up treatment? Under all kinds of rogues, they have to turn to the civil affairs department for help and ask the municipal civil affairs department for help!

I am here to convey

Salute!

Applicant: xxx

Date of application:

Application for serious illness relief 7 Dear leaders,

My name is xxx, and I am x years old this year. I am a villager in Group X of xx Village, xx Town. There are x people in my family, my mother-in-law, my husband, me and my son. My son (daughter) suffered from serious xx disease in xx month and has been treated in hospitals such as xx. Now he has spent more than xx yuan on medical expenses. It is still under treatment. Chemotherapy costs xx yuan at a time. Husband xxx, small and weak, works in the construction team and earns a little money by lifting mud for others. Long-term unemployment, taking care of her mother-in-law at home. My mother-in-law is eighty years old this year. She is in poor health, suffering from xx disease, and often takes medicine. In this way, my family now only lives on X mu of land and the income from her husband's labor sales, especially the son (daughter) needs to continue chemotherapy and needs a lot of money. At present, it has borrowed 36,000 yuan from relatives, friends and neighbors. Where will the next money come from? I really can't imagine.

Recently, I am Lacrimosa, and I can't eat or sleep. Under very difficult circumstances, I thought of the party and the government. I boldly applied to the Civil Affairs Bureau for organizational support to help my son (daughter) continue to see a doctor. I am grateful. I thank this organization for helping the elderly and young people!

I am here to convey

welcome

Applicant: xxx

Xx year x month x day

Application for serious illness relief 8 Dear leaders,

My name is * *, and there are five people in my family. Now I live in the countryside. Housing is the public housing purchased during the housing reform. The building area is 46. 1 m2. Our family's income is only 207 yuan, and our family's life is difficult, so we apply for minimum living allowance. My family situation is: I was born in 1948, suffering from chronic bronchitis and asthma for many years. I used to work in a building ceramics factory, and * * * retired. The factory gives living expenses of 207 yuan, and there is no other income. Wife, Wang Xiuzhi, was born in 19**, never worked and had no income. My son, Tang Mingjun, was born in 19** years. He was born with a congenital fool, no job and no income. I also have a daughter named Tang Mingfeng, born in 19**. Now married. I live in Room * *, Building *, Hebei Community. I work in Tangshan No.9 Porcelain Factory with a monthly salary of 45 1 yuan. Her husband is a laid-off worker in the same factory. The living expenses of laid-off workers in the factory are 25 1 yuan. She has a daughter for two weeks. Her family life is also very difficult, and she can't give me living expenses. Ask the government to give me the minimum living guarantee according to the rural minimum living guarantee.

I am here to convey

Salute!

Applicant: * * *

* * Year * * Month * * Day

Application for serious illness relief 9 __ County Civil Affairs Bureau:

Applicant: _ _ _ _, male, Dongxiang nationality, aged _ _, other family members miss others. Who lives in _ town _ villagers _ society _ number. I suffered from _ _ _ _ _, which caused _ _ _ _ _, and I was examined and treated in _ _ hospital and _ _ hospital successively. Among them, in addition to reimbursement of rural medical cooperation fees, the expenses are as follows:

First of all, the medical expenses in _ _ hospital are * * * 980 yuan, which is in 980 yuan.

Secondly, the medical expenses of _ _ * * cost 1488.40 yuan, or 1448.4 yuan.

I spent 23,077.90 yuan on medical expenses again, totaling 2,307.9 yuan.

Finally, the medical expenses of _ _ _ _ _ are 1 1735 yuan, that is, 1 1735 yuan.

In the meantime, relatives spent about 3,600 yuan on transportation, accommodation and living expenses for serving patients, totaling 3,600 yuan.

Total medical expenses of patients: 1647 1.3 yuan. Transportation nursing fee: 3,600 yuan. Two combined currencies: __ 1.3 yuan. Because my family income is very difficult, I can't afford the expensive medical expenses for this treatment. Most of the treatment expenses were borrowed from five relatives and friends to prepare for treatment. I can't afford the medical expenses for such a serious illness now, so I have to apply to the hospital for discharge and go home for conservative treatment. Now I have a lot of debts.

Therefore, I hereby apply to the Civil Affairs Bureau of Dongxiang County People's Government for serious illness medical assistance, and hope that your company will give me serious illness assistance. My family and I will appreciate your help!

I am here to convey

welcome

Applicant: _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _

Serious illness rescue application 10 leaders,

My name is xx, and I am 45 years old. I am a villager in xx village, xx town. In 20xx, my feet were covered with tumors, and I couldn't get down in pain. No choice but to live in xx County People's Hospital for surgery. Treatment 1 month, * * * medical expenses 1.8 million yuan. It never rains but it pours. Only two months after leaving the hospital, my wife xx was hospitalized for gallstones, and spent more than 9,000 yuan on medical expenses. Last year, all the income went to the hospital. Although the rural cooperative medical system is guaranteed, the expenses for reimbursement are just a drop in the bucket for my special family.

I have raised two children, the second son xx, 15 years old. At present, his height is only 1 2 meters. From the age of five, we took our second son to seek medical treatment everywhere and went to major hospitals in Beijing, Shanghai and Changsha. After all kinds of complicated inspections, although we exhausted all the money at home without complaint, these hospitals did not make us anxious to get a definite conclusion. It was not until August of 20xx that the second son xx was diagnosed as pituitary atrophy by Hunan xx Hospital. The doctor said that the only way to cure that rare disease is to inject human growth hormone artificially.

The treatment process is easy to say from the doctor's mouth, but how does he know the current living conditions of my family? Now, the tumors in my legs have begun to recur, my wife is weak, and both husband and wife can't do heavy manual work, so they can only rely on a little reward from temporary jobs to maintain their family life. For a poor family like me, the huge medical expenses required for hospitalization are unbearable. I can only take my children home with my heart and inject them with the superficial knowledge I learned from the doctor. Even so, the medical expenses on the day when 98 yuan was not covered by medical insurance were all my remuneration for working as a temporary worker for one day, and my children had to be rechecked once a month in Changsha.

I really can't bear such a heavy financial burden at present. I urge the leaders to set out from my reality and give me a quota for serious illness relief to solve my urgent needs! Not very grateful! Anxiety!

Application for serious illness relief 1 1 I am a resident (villager) of * * * * road (group) in * * * county (town), and I am the object of * * *. I have medical difficulties because I have (malignant tumor, leukemia, uremia, ascites due to cirrhosis). The main reasons for applying for assistance: ....

Applicant: (seal)

ID number:

* * * * Year * * Month * * Day

Serious illness rescue application 12 XXX civil affairs bureau leader:

Hello!

My name is Chen Moumou, and I am 39 years old. 10 years old, his father died of cancer and was raised by his aunt. First of all, I packed melon seeds in XXX local products company. After the bankruptcy of native products company, the county labor bureau solved a national contract worker index and arranged to work in XXX building. Not long after, XXX building went bankrupt (I also bought insurance in Fu Min building, and I haven't made any compensation yet). After that, I went to work in a private enterprise in Dongguan, Guangdong with my husband. In recent years, the factory has encountered economic crisis, with poor efficiency and low income, which never rains but pours. In May of 20xx, he suddenly suffered from lumbar tuberculosis, and his whole body ached and he could not walk. It took more than 50 thousand to borrow money to see a doctor, but finally it survived, but it left behind chronic bone tuberculosis, which can not be cured at present. I need to take medicine for a long time, and I have to go to the hospital for reexamination every month, but some bones in my body have died and I have lost my ability to work. Now that my condition has improved slightly, I can walk in the fields and go back to my relatives to recuperate. Now, I don't have a house and my son is still in junior high school. The whole family only depends on her husband's salary of more than 2,000 yuan per month. In recent years, I still owe more than 20 thousand hospitalization expenses, and I have no extra money to continue to buy medicine and treatment. Life is hard.

Today, I hereby request the leaders of the Civil Affairs Bureau to send me some warmth in the desperate situation according to the policy of benefiting the people of the party and the government, and to solve some medical assistance expenses for my serious illness as appropriate.

Applicant:

XX year XX month XX day

Application for serious illness relief 13 Applicant * * *, male, Han nationality, 23 years old, from XX county, now living in XX village.

I have been suffering from congenital heart disease since I was a child. I have been seeking medical treatment everywhere for many years, relying on drugs to control my illness and maintain my life. Since July 20xx, I have often coughed with blood in my sputum, accompanied by chest tightness, abdominal distension and dull pain in my liver. After hospital examination, it was diagnosed as cardiac hypertrophy, hepatomegaly and pulmonary edema. Over the past few months, I have been hospitalized in lianghe county Hospital and Dehong State Hospital successively, and my condition is very unstable. Because I can't afford expensive medical expenses, I can only go home from the hospital and do simple Chinese medicine treatment in the countryside. Doctors suggest that Chinese medicine treatment is not a long-term solution and can only be cured by surgery, but it is estimated that it will cost more than 100 thousand yuan for surgery and other expenses, which is undoubtedly an astronomical figure for a rural family. In addition, more than 70 thousand examination and treatment fees have been spent in the early stage, and it has been heavily in debt. In order to help me treat my illness, my elderly parents have been working outside for a long time, saving money, but the money saved is a drop in the bucket compared with expensive medical expenses.

In view of the above situation, in order to collect surgical medical expenses as soon as possible to prolong my life, I sincerely ask the Civil Affairs Bureau for help!

Applicant:

date month year

Application for serious illness relief 14 Dear leaders at all levels: My name is xx, male, 38 years old, and I live in xx Group, xx Village, xx Town. There are five people in the family, including father, mother, wife and son. On September 20xx 15, I unfortunately suffered from epilepsy, and my condition was very serious. He was in a coma at the time of onset and needed immediate hospitalization. Therefore, I was hospitalized in Tang Dou Hospital of xx Province on September 5th, 2005, and was discharged on October 25th, 20xx. During the period, * * * spent RMB xxxx, the cooperative medical system was reimbursed RMB xxxx, and the individual paid RMB xxxx. In recent years, due to poor business management, heavy family burden and excessive psychological pressure, I have suffered from severe depression. He was hospitalized in Tang Dou Hospital of xx Province and Xijing Hospital of xx Province successively, with a debt of more than 200,000 yuan, but with little effect. Now my state is good and bad, and I can't take care of myself. Now these are undoubtedly worse for my family, which is already heavily in debt and has a turbulent life. My wife can't go out to work to earn money in order to take care of my food and clothing. The burden of life for five people in my family falls on the elderly and frail parents. In order to help me cure the disease, my parents have been dragging their tired bodies in my 3 mu responsibility field for many years. The whole family scrimps and saves, but how can these compare with huge debts? My family is in a difficult situation! My family lives in the countryside. I'm already heavily in debt and have no financial resources. In addition, I have lost the ability to take care of myself. However, my illness still needs regular check-ups and lifelong medication. My family is overwhelmed. Where does my follow-up treatment cost come from? To this end, I applied to the competent government departments at all levels for serious illness relief. Please ask leaders at all levels to approve my parents' infirmity, think of my Lacrimosa all day and solve our survival crisis. Pay tribute to this! Applicant: XX, XX, xx, xx.

Application for serious illness relief 15 County Civil Affairs Bureau:

My name is xxx, I am 62 years old, and my ID number is XXXXXXXXXX. I am a villager in Bantun Village, Wen Xi County. There are three people in my family whose husbands died of cancer, who were seriously ill and came from poor families.

I suffered from severe knee osteoarthritis in 20xx, unable to walk, and lost my basic ability to work and live. I have been seeking medical treatment everywhere for many years, and I rely on drugs to control my illness. Since the beginning of this year, I have been to Anyang and Handan for treatment, and the results are not satisfactory. All the money at home has been spent. There is really no choice but to ask relatives and friends for help. With everyone's help, I was admitted to the PLA General Hospital. I had two major operations and spent hundreds of thousands of medical expenses. In addition, my husband was hospitalized a few years ago, and the foreign debt owed has been180,000. For a rural family, this is undoubtedly an astronomical figure.

My two sons joined the army, and they were reluctant to spend their meager allowances, so they saved money to see me. The only 4 acres of land were given to others because they could not be cultivated, and there was no income. To this end, we sincerely appeal to the civil affairs department for help.

I guarantee that the above information is completely true and there is no falsehood. If the situation is not true, I voluntarily assume all the responsibilities, return all the relief funds I have received, and accept the punishment of relevant laws and regulations.