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Grants and Donations Form

The personal information about you that AbbVie Corporation ("AbbVie") collects as part of your grant or donation request is subject to our Privacy Policy, which outlines how we use and what rights you have regarding your data.

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Legal authorized representative to sign contract

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Briefly outline your funding request (75 to 200 characters)

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Is it a donation? required
Please choose the category that best fits your request out of the three below: required


Briefly describe how the initiative will directly affect patients? (200 characters maximum)

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Briefly describe how the initiative will directly affect patients? (200 characters maximum)

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Briefly describe how the initiative will directly affect patients? (200 characters maximum)

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A tangible benefit is a direct benefit (i.e., legitimate, quantifiable, appropriate, and business-oriented benefit) received by AbbVie.

Tangible benefits can include:

  • Booth/exhibit/display;
  • Corporate visibility (beyond simple recognition of AbbVie, i.e. logo on website, event materials and/or programs, etc.)

 

Will AbbVie receive a tangible benefit? required
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As approval and contract execution are required prior to the start date of your project, we ask that you provide us with a 60-day minimum lead time to allow for processing.  


If your request is less than 60 days away, please e-mail [email protected] to obtain a PDF version of this application form, as you will not be able to submit your application through the Web site.
 

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The required documents to be attached are as follows:

  • Signed and dated letter of request on your organization’s letterhead;
  • Detailed budget breakdown;
  • Article of Incorporation (or any legal document attesting of your entity’s legal status).

Failure to attach requirement documents may result in the rejection of your request.

 

Have funds been solicited from other sources? required

*As part of our ongoing commitment to maintain a high level of integrity of our grants and donations program, we review our selection criteria on an ongoing basis.