We have a new Donation Application Form! Click on the button below to fill out and submit a donation request.

Submit a New UICCU Donation Application Request

- Choose a State -
For requests of this amount, UICCU would like the opportunity to bid on the insurance needs of your organization or event. Would you be willing to have a UICCU Insurance representative speak with you? *
Are you a member of UICCU? *
Has UICCU funded this event/program in the past? *
Does your organization receive United Way funding? *
Have you received funding from other financial institutions? *
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