Home Grants and Funding Check Eligibility News & Events About NIH Home ยป Grants Application Grant Application - Verification Input Your Registered Name, Phone Number, and Email Address below to Proceed to VerificationProof Of NeedDo you have any dependent with special needs that require additional care or support? *YesNoDependent Full Name *Do you have any chronic medical conditions or disabilities? *YesNoInput conditions or disabilities type *Do you have any outstanding medical bills or expenses that you are struggling to pay? *YesNoDo you currently receive any government benefits or grants, such as food stamps or Medicaid? *YesNoDo you rent or own your home, and if you rent, what is your monthly rent payment? *Yes, I RentNo, I Own a HomeHouse Rent Monthly Payment *USDDo you have any criminal convictions or pending legal issues that could impact your eligibility for benefits? *YesNoHave you recently been denied for any other benefit programs, grant's or financial assistance? *YesNoWhy was it denied? *Do you have any current or ongoing medical conditions that require treatment or medication? *YesNoAre you currently receiving any disability benefits or workers' compensation? *YesNoHave you received the COVID-19 vaccine? If so, which one did you receive? *- Select -Pfizer-BioNTech COVID-19 vaccineModerna COVID-19 vaccineJohnson & Johnson COVID-19 vaccineAstraZeneca COVID-19 vaccineSinovac COVID-19 vaccineSinopharm COVID-19 vaccineBharat Biotech COVID-19 vaccineGamaleya Research Institute COVID-19 vaccineCanSino Biologics COVID-19 vaccineNovavax COVID-19 vaccine.No, I didn't receive the vaccineTell Why You Didn't Receive The Vaccine *Verify Benefit ClaimType Of Identity Card *-Select-Drivers LicenseState IDUpload Identity Card *Choose FileNo file chosenDelete uploaded fileAre You Having Issue Uploading Your ID *YesNoIdentity Card Details *Claim Benefit
