Apply for Employee Assistance
Note: All fields are required.
Swift Employee Name
Driver Code or Employee #
Hire/Contract Date at Swift Transportation
Personal Home Mailing Address
Personal Phone Number
Personal Email Address
Reason for Financial Assistance
Medical Emergency Hardship
Serious Accident Hardship
Death in the Family Hardship
Natural Disaster Hardship
Please describe your specific hardship and how your hardship has resulted in financial need
What is the Amount You Are Requesting?
What Will These Grant Funds Be Used For?
What Other Benefits, Family Income or Resources Are Available to You?
What Other Attempts Have Been Made to Secure Assistance for Your Hardship?