For recipients

We make the application for hearing aids quick and easy, so you can get the help you or your family needs without having to jump through hoops.

We evaluate each applicant on a case-by-case basis with the understanding that everyone has a unique financial situation and varying levels of need.

Total Household income for the past 12 months*

Total allowed deductions for the past 12 months*

Once eligibility and funding have been reviewed and accepted, you will go through your audiologist/hearing aid dispenser to receive ear molds (if applicable) and hearing aids. HearAid Foundation Inc., will not accept financial responsibility for any additional test(s), treatment, or office visits. By signing this form, you agree to release information to HearAid Foundation. Information specific to your (or your child’s, if applicable) hearing loss may be shared with other medical, audiological and intervention specialists, or agencies in order to provide optimal care. Information that doesn’t specifically identify the candidate may be published or used to pursue funding for HearAid Foundation.

Please upload the first two pages of your tax return. If not applicable, submit a copy of at least three consecutive paycheck stubs*

Please upload your most recent hearing test (from within last year)*

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These success stories are what fuels our passion for helping those with hearing loss. Each story represents the importance of our donors’ generosity and volunteers’ time.