Comstock Quality of Life Grant

Please review the following information before applying. If you have any questions, please contact us at

Comstock Quality of Life Grant Goals

  • Provide equipment, services, or supplies that could not otherwise be attained (daily or special).
  • Supplement other sources of income, entitlement benefits and insurance for things otherwise not available.

Examples of Grant Uses

  • Communication tools (Smart phone, iPad, writing board, computer software, apps, etc.)
  • Broadband or internet costs (to maintain on-line support)
  • Transportation including unreimbursed travel to participate in FTD research (taxi, accessible van, etc.)
  • Companion care
  • Insurance co-pays, medication costs, or therapies (occupational, physical, speech, or counseling services)
  • Home adaptations
  • Gym membership or exercise class
  • Grooming and cosmetics (Haircuts, manicure/pedicure etc.)

Eligibility Requirements

  • Applicants must be diagnosed with an FTD disorder.
  • Must be a resident of US.
  • Provide copies of diagnostic report(s) showing how the diagnosis of FTD was made. The confidentiality of all personal information is protected. Medical records are destroyed after the initial grant is approved.


  • Applicant is responsible for all arrangements related to researching and securing the equipment, supplies or services of their choice.
  • Applicant is responsible for using the debit card provided to pay for the equipment, supplies or services desired under the grant.
  • Any expense above the $500 grant is the full responsibility of the applicant.
  • All applicants must list a secondary contact that can assist the applicant with the application and/or use of the grant as needed.
  • AFTD reserves the right to contact the secondary contact at any time in relation to the grant. Any blatant misuse of the grant funds awarded through the card, including use of the funds for the sole benefit of the primary care partner, will disqualify applicant from consideration for future Comstock Quality of Life grants.

Grant Recipients are asked to

  • Contact AFTD if you lose the debit card issued to you.
  • Contact AFTD if you cannot use grant funds within six months of the approval date.
  • Respond to AFTD requests for information about the grant program to help refine it for future applicants.

Comstock Quality of Life Grant Application

Applicant/Person Diagnosed Information

Please enter a date in the form of MM/DD/YYYY
Applicant/Person Diagnosed Contact Information

Please help us better serve you

Secondary Contact 

If you cannot identify a secondary contact, please contact AFTD to complete your application.

Secondary Contact Information

Please help us better serve you

Enter full year in YYYY format.

Supporting Documentation

First-time applicants must submit medical records documenting an FTD diagnosis before a grant can be approved. If you have questions, please contact .

Upload medical records documenting FTD diagnosis or mail to: AFTD, 2700 Horizon Drive, Suite 120, King of Prussia, PA 19406. Supporting Documentation

AFTD is a non-profit, 501(c)(3), charitable organization. A copy of AFTD’s official registration and financial information may be obtained from the PA Department of State by calling toll free within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.