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Carnegie Hero Fund Commission
  • Heroes
    • Latest Award Announcements
      • Award Announcement Archive
    • Rolls of Honor
      • Two-time Carnegie Medal recipients
    • Search Heroes
    • Resources for Heroes & Families
      • Overview
      • Scholarship Form
      • Beneficiary Form
      • Grave Markers
      • Academic Honor Cords
      • Carnegie Medal Refinishing
      • Update Contact Information
    • Request More Information On A Hero
  • Nominate
    • Award Consideration Process
    • Award Nomination Form
    • Case Status Inquiry Form
  • About
    • Mission
    • Deed of Trust
    • History
    • Historical Timeline
    • The Carnegie Medal
    • Commission and Staff
    • Financials
  • News
    • Impulse Archives
    • Impulse Index
    • Other Press Releases
    • Media Coverage
  • Resources
    • A Century of Heroes
    • Power of One Archive: Hero Fund Awards 10,000th Carnegie Medal
      • Speeches from Power of One Event
    • Annual Reports
    • About Andrew Carnegie
    • European Hero Funds
    • Resources for Media/Presenters
    • Centennial Archive
  • Contact
Beneficiary Form Heroes
David R. McMillan, 1952 Carnegie Medal Recipient

Beneficiary Form

“To place those following peaceful vocations, who have been injured in heroic effort to save human life, in somewhat better positions pecuniarily than before, until again able to work. In the case of death, the widow and children, or other dependents, to be provided for until she remarries, and the children until they reach a self-supporting age.” — Carnegie Hero Fund Deed of Trust

First-time applicants

To apply for financial assistance with living expenses for the first time, please download and complete this form.

DOWNLOAD APPLICATION

All applications should be sent by e-mail to carnegiehero@carnegiehero.org or postal mail at  Carnegie Hero Fund Commission, Attn: Jo Braun, 436 7th Ave., Suite 1101, Pittsburgh, PA 15219-1841.


Ongoing beneficiaries

Ongoing beneficiaries will be contacted by mail for renewal, and should complete the mailed form and include 1) a copy of their most recent income tax returns; 2) copy of most recent W2s, if working; and 3) a copy of the Social Security Administration’s most recent correspondence in which the Social Security benefit(s) is stated, if receiving Social Security payments.

If the mailed information has been lost or payments have stopped inexplicably, please complete the form below.

  • This field is for validation purposes and should be left unchanged.
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  • Resources for Heroes & Families
    • Overview
    • Scholarship Form
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    • Academic Honor Cords
    • Carnegie Medal Refinishing
    • Update Contact Information
  • Request More Information On A Hero
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