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IVF Grants
IVF Grant Application Form

IVF Grant Application Form

Please make sure you read all the information on this page before making an application as well as the Frequently Asked Questions if you have need assistance in completing the form.

IVF Grant Application 2025

Step 1 of 9

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Complete Application

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Application Stage

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Contacted

PLEASE MAKE SURE YOU READ THROUGH ALL THE INFORMATION PROVIDED

Have you read our FAQ’s to see if we’ve already answered a question? Click here for FAQs

To help us process your IVF grant application you should make sure you have all the information needed as stated below.

If your application is incomplete, unpaid or if you do not provide the information requested then you would not be eligible for a grant.

You will also be able to Save and Continue the form if you need to get further information.

APPLICATIONS CLOSE ON THE 31st March 2024

If we require more information we will contact you and if necessary which may include a video call to discuss their application.

You will be notified via email by the end of April of the outcome of your application

It should also be noted we cannot provide feedback on applications

We hope to complete the application process by May 2025.

You can fill out the application even if you do not have all the documentation to hand.

However, if you have not uploaded these within 30 days your application will be removed

Documentation check list – You will need these to complete your application

Photo part of your passport – both applicants if applicable

Last 3 months of bank statements – both applicants if applicable

P60 if working – both applicants if applicable

Last 3 payslips if working – both applicants if applicable

Proof of any benefits you may receive – both applicants if applicable

Proof of funds to cover rest of the treatment, any tests you require and medication

Personal statement – both applicants if applicable

Medical history including any relevant GP or clinic notes from any treatment you have had

Female and Male fertility tests including treatment plan and costs from your fertility clinic

Eligibility check list – Please confirm you understand and have the information required.

Heterosexual, same sex couples and single women are eligible to apply

Female must be 42 and under when making the application

Couple to be British citizens with no criminal record

Couple to be cohabiting, with at least one half of the couple to be in full-time gainful employment at the time of application

Proof of funds to cover the rest of the treatment (if needed) including fertility medication costs

Our grants can used for IVF treatment and we do not cover fertility medication

There is a £20 NON-REFUNDABLE application fee is required, and is considered a donation which may be tax deductible – Payable on completion of application

We do not cover medical revisions or just egg freezing

Female and Male fertility tests including treatment plan and costs from your fertility clinic

Applicant Information

Applicant Name(Required)

Prefix First Last

Date of Birth(Required)

DD slash MM slash YYYY

Your Sex(Required)

Female

Male

Transgender

Sexual Orientation(Required)

Heterosexual

Gay Woman

Gay Man

Prefer not to say

Race / Ethnicity(Required)

White

Asian or Asian British

Black, Black British, Caribbean or African

Mixed or multiple ethnic groups

Other ethnic group

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Applicant Age

Relationship Status(Required)

Married

Single

Partner

Divorced

Separated

Widowed

Living Situation(Required)

Homeowner

Renting

Living with Parents/Grandparents

Other

Employment Status(Required)

Employed

Self Employed

Unemployed

Retired

National Insurance Number(Required)

Address(Required)

Street Address City County Post Code

Email Address(Required)

Mobile Number(Required)

Partner Information

Partner Name(Required)

Prefix First Last

Date of Birth(Required)

DD slash MM slash YYYY

Your Sex(Required)

Female

Male

Transgender

Sexual Orientation(Required)

Heterosexual

Gay Woman

Gay Man

Prefer not to say

Race / Ethnicity(Required)

White

Asian or Asian British

Black, Black British, Caribbean or African

Mixed or multiple ethnic groups

Other ethnic group

This field is hidden when viewing the form

Partner Age

Relationship Status(Required)

Married

Single

Partner

Divorced

Separated

Widowed

Living Situation(Required)

Homeowner

Renting

Living with Parents/Grandparents

Other

Employment Status(Required)

Employed

Self Employed

Unemployed

Retired

National Insurance Number(Required)

Email Address(Required)

Mobile Number(Required)

Your Journey

Do you or your Partner have Children together or from previous relationships? (Please tick all that apply)(Required)

Yes Together

I Have from Previous Relationship

My Partner has from a Previous Relationship

How many children do you have together?(Required)

How many children do you have from previous relationships?(Required)

How many children does your Partner have from previous relationships?(Required)

How long have you been trying to conceive (either through regular intercourse or other means (IVF, home insemination etc).(Required)

Less than 1 year

1-2 Years

3 Years or more

Have you had any NHS funded treatment?(Required)

Yes

No Refused NHS Funding

What NHS funded treatment did you have?(Required)

IVF

IVF with ICSI

IUI

Home Insemination

Egg Donation

Sperm Donation

Surrogacy

If you were refused funding please tell us the reason(Required)

What was the name of the Clinic or Hospital?(Required)

Please explain how many cycles, what treatment you had the outcome, costs etc. Please provide as much information as possible.(Required)

Have you paid for any treatment or tests?(Required)

Yes

What was the name of the Clinic or Hospital?(Required)

How much have you paid for private treatment and tests?(Required)

What Private treatment did you have?(Required)

IVF

IVF with ICSI

IUI

Home Insemination

Egg Donation

Sperm Donation

Surrogacy

Please explain how many cycles, what treatment and/tests you had and the outcome. Please provide as much information as possible.(Required)

Do you or your partner have any of the following?(Required)

Endometriosis

PCOS

Blocked or damaged/removed fallopian tubes

Ovarian cancer

Low AMH

Irregular cycles

Low Sperm

Other

Please describe any other conditions not mentioned that could be affecting your fertility(Required)

Please describe all relevant information regarding your history of infertility (diagnoses, surgeries, treatments undergone, number of years attempting to conceive, etc.)(Required)

Personal Statement

Each applicant must complete a personal statement

We would like to know more about you, your journey to where you are today and anything in-between

Personal Statement Applicant(Required)

Personal Statement Partner(Required)

About your future treatment

What treatment are you applying for?(Required)

IVF

IVF with ICSI

IUI

Donor Sperm

Donor Egg

Surrogacy

What is the name of the Clinic or Hospital?(Required)

Cost of treatment from the Clinic?(Required)

Do you have the funds to cover the rest of the treatment?(Required)

Yes

What is the source of funds to cover this?(Required)

How do you expect to pay for the rest of the treament(Required)

Do you have the funds to pay for your Medication costs?(Required)

Yes

What is the source of funds to cover this?(Required)

How do you expect to pay for the rest of the fertility medication(Required)

Financial Information

If you are a couple please complete this section together

Monthly Salary(Required)

Additional average monthly income (ex. Overtime, commission, tips, etc.)(Required)

Benefits (Employment and Support Allowance (ESA), child benefit, income support, housing benefit, universal credit, Personal Independence Payment (PIP), Disability Living Allowance (DLA)(Required)

Income from any property you may own/rent out(Required)

Any additional income sources(Required)

Current credit card debt(Required)

Current balance in your Current account(s)(Required)

How much do you have savings?(Required)

Please explain, if applicable, any other or unusual financial or personal circumstances that may affect our consideration of your application(Required)

Monthly Outgoings

Mortgage/Rent(Required)

Gas/Electricity(Required)

Water(Required)

Phone & Broadband(Required)

House Insurance(Required)

Council Tax(Required)

Car insurance, road tax, fuel(Required)

Car loan(Required)

Personal loans/other credit(Required)

Holidays(Required)

Other Expenses(Required)

Property you own including the one you live in

Do you own the property you live in?(Required)

Yes

Is there a Mortgage on the property?(Required)

Yes

How much is your mortgage payment each month?(Required)

What is the value of your property?(Required)

Do you own any other properties ie Buy to let or holiday homes?(Required)

Yes

Ares there Mortgages on the property?(Required)

Yes

How much is your mortgage payment each month?(Required)

What is the value of your property?(Required)

Please tell us about the other property own(Required)

How did you hear about The Fertility Foundation?

How did you hear about The Fertility Foundation?(Required)

Our website

Social Media

From a friend/relative

A group or forum

GP / Clinical referral

Other

Have you ever done any fundraising to support your infertility treatment?(Required)

Yes

Please tell us when and what you did to raise money – even if you didn't succed in raising the required money (eg GoFundMe, Justgiving etc)(Required)

Have you ever received a grant to support infertility costs in the past, either from The Fertility Foundation or another charity or organisation?(Required)

Yes

When did you receive the grant, how much and from which organisation?(Required)

Document Uploads

Applicant Passport Photo (both photo pages)(Required)

Drop files here or

Max. file size: 2 GB.

Partner Passport Photo (both photo pages)(Required)

Drop files here or

Max. file size: 2 GB.

Applicant last 3 months bank statements(Required)

Drop files here or

Max. file size: 2 GB.

Partner last 3 months bank statements(Required)

Drop files here or

Max. file size: 2 GB.

Applicant P60 or Self Assessment (if applicable)

Drop files here or

Max. file size: 2 GB.

Partner P60 or Assessment (if applicable)

Drop files here or

Max. file size: 2 GB.

Partner last 3 months pay slips(Required)

Drop files here or

Max. file size: 2 GB.

Applicant last 3 months pay slips(Required)

Drop files here or

Max. file size: 2 GB.

Proof of any benefits you may receive

Drop files here or

Max. file size: 2 GB.

Proof of funds to cover rest of the treatment, any tests you require and medication(Required)

Drop files here or

Max. file size: 2 GB.

Your medical history should include any letters from your GP regarding your health that relates to fertility and any previous treatment or results from your fertility clinic

Medical history including any relevant GP or clinic notes from any treatment you have had(Required)

Drop files here or

Max. file size: 2 GB.

Letter/treatment plan from your clinic if you have it(Required)

Drop files here or

Max. file size: 2 GB.

Current Photo of you (together if couple)(Required)

Drop files here or

Max. file size: 2 GB.

Consent

By submitting this application and signing below, the applicant(s) understand and consent to the following (respond to each statement and sign below):

To having our names and photographs published and released by The Fertility Foundation if we are awarded a Fertility Foundation Fertility Grant and described in that press release as recipients of the The Fertility Foundation(Required)

Yes

Submiting this application does not in any way guarantee that we will receive a Fertility Grant.(Required)

Yes

We will not receive any money directly; the grant award will be provided directly to the fertility clinic.(Required)

Yes

If we are awarded a Fertility Grant that the money must be used within 4months of the grants commencement date for the purposes which it was requested, and that any unused funds will be returned to The Fertility Foundation general fund.(Required)

Yes

Should a refund be available due to services costing less than anticipated, services not being rendered, a shared risk cycle is unsuccessful and funds are reimbursed by a clinic that the refund (up to the value of the grant award) will be returned to The Fertility Foundation(Required)

Yes

If it is found that any information contained in this application was falsified, if the instructions were not followed, or if your family, fertility, or legal status changed following the submission of this grant and The Fertility Foundation was not notified of such a change, the grant money, if offered, may be rescinded or forfeited depending on the specific circumstance at the discretion of the Board of Trustees.(Required)

Yes

The information contained in this application is truthful.(Required)

Yes

The Fertility Foundation has the right to confirm that applicants are in good standing with their fertility clinic(Required)

Yes

Applicant Signature(Required)

Partner Signature(Required)

Application Fee

Price:

We process payments with our PayPal Giving fund and we do not collect or hold or have access to any financial information on our website.

Payment Method

American Express

MasterCard

Visa

Maestro

Supported Credit Cards: American Express, MasterCard, Visa, Maestro

Card Number Expiration Date Security Code Cardholder Name

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