Survivor Funds Application

The Summit County Collaborative Against Human Trafficking is committed to meeting the needs of survivors in our community. This application is to supply limited funds for survivors in need that cannot be met by another community agency. Allow up to two weeks for processing. Once submitted, you will be contacted by an SCCAHT member.

DISCLAIMER: The survivor funds application is NOT HIPAA compliant. DO NOT include confidential information on this form – a phone call will be setup to collect additional information. Agencies submitting requests are required to have a release of information for communication with the SCCAHT.