Find Funding

To apply for funding from the Abortion Access Fund, Inc. please contact us or use the form in the panel below.

Contact information for other organizations which assist women with funding for abortion and other reproductive health services can be found below.

You can also help women who need an abortion but cannot afford one with a one time or recurring donation to the Abortion Access Fund, Inc.

AAF Funding Application

To apply for funding from Abortion Access Fund, Inc. please fill out the following form and someone will get back to you as soon as possible.

ALL FIELDS ARE REQUIRED.

Patient Name*

Age*

Date of Birth*

Address*

Phone Number*

Email Address*

Gestation (In Weeks)*

Number of Live Births*

Number of Children*

Number of Prior Abortions*

Insurance?*

Type of Insurance?*

Number in Household*

Household Monthly Income (People: USD)*

Highest Grade Completed*

Relationship Status*

Race*

White
Latina / Hispanic
Asian
Black / African
American Indian
Hawaiian / Islander
Other
Prefer Not To Say

Procedure*

Appointment Date*

Appointment Location / Clinic*

Other Sources of Funding (List Fund and Amount)*

* By submitting this form you agree to our Privacy Policies.

Other Funding Providers

National Abortion Federation (NAF)

(800) 772-9100
Website

Women’s Reproductive Rights Assistance Project (WRRAP)

WRRAP does not take calls from patients, clinic staff must call on your behalf.

Website

Iowa Abortion Access Fund

* Funding for in-state residents only
(319) 233-9906
Website

South Dakota Access for Every Woman

* Funding for in-state residents only
(605) 338-3350
Website

Peggy Bowman Second Chance Fund

(785) 760-3959
Website

Vermont Access to Reproductive Freedom

* Funding for in-state residents only
(800) 491-8273
Website