Request Form for COVID-19 Crisis Fund
We know all UnityPoint Health team members are going above and beyond during the COVID-19 crisis every single day. Our COVID-19 Crisis Fund has been created to help support you during this time. **The COVID-19 Crisis Fund is for UnityPoint Health - Central Iowa Employees only.
All requests to utilize this fund should be submitted through a manager by filling out the below form. Decisions will be made by administration. All requests should be submitted by Thursday of the week for review. Requests will be reviewed on a regular basis. You should expect to hear back in 7 days.
The team will work diligently to fulfill as many requests as possible, but funds are limited and it is possible not all requests will be fulfilled. Thank you!
* Designates mandatory field.