Ascot Fund

Ascot Fund

A program for those specifically diagnosed with alopecia areata
Dear Applicant,

The National Alopecia Areata Foundation (NAAF) established the Ascot Fund to help provide financial assistance towards the purchase of a hairpiece to individuals who have alopecia areata and are struggling financially.

Funding for this program is limited and awards are granted based on availability, up to $300. After your application is received, you will be notified of your status within 30 days. If your application meets all of the criteria specified in the application and approved, you will receive an email confirmation with the amount you have been awarded. Awards granted will be mailed directly to the business shown on the application form. Hairpieces costing more than $1,500 will not be considered. If the price of the hairpiece costs more than the amount awarded and you would like to claim the balance, you will need to provide a doctor's prescription to your insurance company.

Thank you for your interest in the Ascot Fund, and we look forward to assisting you.

Judy Williams
Director of Support & Education

P.S. To help you in your search for a custom or non-custom hairpiece and other helpful products, see below for a resource list of vendors. For a personal reference, you can contact your local support group.List of support groups and telephone support contacts is provided below.

Important: If you pay in advance for the entire cost of the hairpiece (by credit card or with other financial sources) or if you are in possession of the hairpiece before being notified by NAAF of your award status, your application will no longer be eligible for review.
Wig Vendors
National Alopecia Areata Foundation Support Contacts

Before you begin to fill out the application, please review the eligibility requirements.
You are eligible to apply for assistance if you:

● have been diagnosed with alopecia areata by a dermatologist or other physician.
● have not been awarded an Ascot Fund grant in the last three (3) years.
● are unable to purchase a hairpiece due to financial challenges.
● are not in possession of the hairpiece for which you are requesting assistance to purchase.
● have not already paid for the entire cost of the hairpiece with a credit card or other means.
● can pay for any balance remaining within 30 days of submitting application should you receive an award.

If you meet all the criteria, please click next to ensure you've completed all the following checklist items before submitting an application.

Select a Store or Company
Select the place of business where you would like to purchase your hairpiece. This business must be licensed and able to provide a copy of a business license/seller’s permit upon request. DO YOUR HOMEWORK. You’ll want to make an informed decision about the store or company you choose to work with. Request referrals and conduct a background check through the Better Business Bureau (go to www.bbb.org, search under “local BBBs”). NAAF is not responsible for unhappy purchases. You’ll feel more confident making your purchase knowing there have been no previous complaints.
Have you selected a store or company?*

Yes - You may proceedNo - Please select a store or company before proceeding
What is the name of the business you have selected to work with (company/store name)?*
Have you received referrals and contacted the Better Business Bureau about the business?*

YesNo

Request an Invoice or Letter

After you've selected the business of your choice, request an invoice or letter listing your name and the description and cost of the hairpiece. This letter must be printed on business letterhead and include the store address, telephone number and contact person.
Do you have an invoice or letter?*

Yes - Attach belowNo - Please request an invoice or letter before proceeding
Please attach invoice or letter*

Cancelof

Please Request Your Dermatologist's Signature

Contact your dermatologist's office to request your doctor's signature and office stamp on the diagnosis form. Click on this link for the form: https://www.naaf.org/
Have you Requested a Dermatologist's Signature?*

Yes- Upload signed and completed form belowNo - Please request your dermatologist's signature before proceeding
Please attach Diagnosis Form (Signed and Stamped by Your Doctor's Office)*

Cancelof

In order to provide the best assistance, it is important that NAAF understands the reasons you are asking for assistance. Having this information is important and will expedite the review process.
Are you employed?*

YesNo
If you do work, how many hours a week do you work?
If you do not work, please list your source of income.
Are you a single family income?*

YesNo
Are you a combined family income?*

YesNo
What is your household annual income?*
Please share with NAAF your financial situation that requires you to ask for assistance to purchase a hairpiece.*
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Ascot Fund

Before you begin to fill out the application, please review the eligibility requirements.

Select a Store or Company

Request an Invoice or Letter

Please Request Your Dermatologist's Signature

Ascot Fund Application

In order to provide the best assistance, it is important that NAAF understands the reasons you are asking for assistance. Having this information is important and will expedite the review process.