Birth Justice Care Fund - Now Accepting Item Requests Nationally:

The Birth Justice Care Fund is originally a SisterSong Birth Justice Team needs-based initiative, for Georgia, Kentucky, and North Carolina residents, in response to the social crisis that communities of color are experiencing more critically due to the COVID-19 Pandemic and the U.S’s High Black Maternal Mortality Rate. The relief funds are intended for Black and other birthing people of color, especially Queer and Trans folks in need of support during their pregnancy and within one year postpartum. However, the BJCF is currently open nationally to provide essential birthing items while funds are available.

Name

First Name

Last Name

Please Retype your Email address

This Fund is specifically for Georgia, Kentucky and North Carolina Residents. Are you currently a GA, KY or NC Resident?

(we are only awarding applicants with either services or essential items (diapers, breast pumps etc..)

If not, where do you live?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Race/Ethnicity

If none of these are applicable, please list your ethnicity here:

When is/was your delivery date/due date?

Applicants must be between 8 weeks pregnant and/or one year postpartum to apply.

YYYY

How did you hear about the BJ Care Fund?

Birthworker Referral Name (if applicable)

Do you receive benefits from any of the following?

Food Stamps

WIC

Medicaid

Other

Services or Items

Each applicant must request EITHER services OR items (maximum allowance for items is $1000).

Please indicate which ITEMS you need

If you selected ITEMS. Now select what you need below (the maximum allowance for items is $1000). If you selected SERVICES select Not Applicable

If applicable, what size or sizes of diapers do you need?

We Want to Hear Your Story. In this section share your story relating to your current circumstances. Please provide as much information as possible concerning your request (i.e. "I am a single mom of three and was recently laid off in March due to COVID-19. I am requesting funds to help...") as this information is used for application consideration..

In effort to bring more awareness and support to the BJ Care Fund, it can be helpful to share details of your story with our funders and/or social media campaigning. Do you consent to allowing our team to share your story without using your name?