The BCS service area is limited to selected areas in Southern California. If you live outside Southern California, we suggest contacting your local Susan G. Komen Foundation for possible resources.

BCS has a lifetime support limit of 9 months, as well as a per-person monetary limit. Once one of these limits has been reached, support is terminated and you may not renew at a later time. These limitations allow us to assist the growing number of women in our community who need our help.



Click here to download our application: Download BCS Application.doc

Click "Download Now" once the countdown has finished, and you will be directed to either open the file, or save it to your computer (whatever you choose). If you have trouble, please email . Thank you for your patience!

To request an application, please call us at 1.866.960.9222 or email .