Application for Financial Assistance

Who Qualifies?

Ad Relief embraces all members of the Greater Los Angeles advertising and promotions industry and related fields including employees:

  • Advertising Agencies

  • Advertising-related employees of broadcast properties, newspapers and magazines, internet providers, digital advertising properties, outdoor & Out of Home media

  • Art Directors, designers, copywriters, photographers

  • Direct marketing advertisers

  • Advertising sales representative firms

  • In-house advertising departments

Applicants must have been employed in or consulted for the advertising and promotions industry for a continuous period of one year and not absent for longer than one year, prior to applying for assistance.

Retirees from advertising and promotions are also eligible.

What Situation Qualifies?
Members of the greater Los Angeles advertising, promotions and communications community can turn to Ad Relief when a life crisis strikes and no other source for financial aid is available.

For example:

  • Medical debts and expenses incurred due to critical illness, accident or injury

  • Employment interruption resulting from critical illness, accident, injury or natural disaster

  • Loss of residence brought about by natural disaster

  • Other life crises as deemed appropriate by the Ad Relief Board of Directors

Status Limitations
Persons qualifying for Ad Relief assistance must have exhausted all other attempts to seek financial help and may not have any assets of substance including:

  • 401 K, Keogh

  • Savings Account

  • Home Equity

  • Stocks or Bonds

Per our bylaws, Ad Relief is not available for those experiencing financial difficulty unrelated to a qualifying life crisis. These include: Credit Card Debt, Debt Consolidation Loans, Educational Loans, Mortgage Assistance, Elective or Cosmetic Medical Care


Application for Financial Aid

Please complete all sections of this form, as detailed information will help speed up a response. Particular attention should be given to the section “PURPOSE OF FUNDS.” Financial assistance cannot be provided where the reason for the application for assistance is not explained or where the reason given is “personal” or words to that effect.

Please read the Due Diligence Documentation List required for the application.


Name *
Phone *
Address *
Select an option
Current Employment
Select an option (If answer is YES, please fill out the required information below)
Employment History (List Past 3 Employers)
Address 1 *
Address 1
Employer 2
Address 2 *
Address 2
Employer 3
Address 3
Address 3
Select an option
Please list any other Forms of income:
Select an option
(Food, Clothing, Water/Power/Gas, Phone, Car Payment, Insurance, Gas, Credit Cards)
Select an Optio