Completing a Matching Gift Form

If your company matches donations made to Connecticut Children’s Medical Center Foundation, here are two ways to initiate the matching gift contribution:

1. If your company uses an online matching gift platform, submit a matching gift verification request through your company’s online portal and select “Connecticut Children’s Medical Center Foundation, Inc.”

OR

2. Obtain the appropriate matching gift verification form from your personnel/human resources office. Please complete the form and email, mail or fax the form and a copy of your receipt (if available) to:

Email: foundation@connecticutchildrens.org

Mail:
Connecticut Children’s Medical Center Foundation, Inc.
282 Washington Street
Hartford, CT 06106
Attn: Matching Gifts

Fax Number: (860) 837-5740

EIN: 22-2619869

Note: Please be sure to complete the entire donor portion of the form and to include a copy of your gift receipt (if available). If you would like to designate the matching gift to a specific funding area, please indicate that on the form.