Veteran's Assistance Program Form - Operation Support Our Troops

Please note: You must read the Veterans Assistance Program Guide which can be found under the How To Apply For Assistance section of the website prior to applying for assistance. Per our guidelines, we only consider grants for rent/mortgage, utilities, house service systems, or auto repair. Only apply if you are requesting assistance in these areas. Any requests that are not within these areas will not be considered as they fall outside our guidelines.*

I have read and understand the above information.

To be eligible for assistance you must have received an Honorable Discharge or a General Discharge under honorable conditions.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

What county do you live in?*

How do you describe your gender?

Are you Hispanic or Latino?

How would you describe your race? Select all that apply.

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

Phone*

Is this your home or mobile phone?*

Email*

Branch of Service*

Upload a PDF or JPEG of your DD214, NGB 22 report, DARP FM 249-2E, NRPC 1070-124, AF 526, NAVMC 798, or CG 4175. (PLEASE NOTE: blackout your social security number and birthdate from documents prior to uploading.)*

Accepted file types: pdf, jpeg, png, Max. file size: 50 MB.

Upload a typed letter (250-500 words) explaining how this grant will improve your life and how the improvement will be sustainable after receiving the grant.*

Max. file size: 50 MB.

Upload proof of hardship: Two of your most recent pay stubs, social security checks, and disability check. Also please include a picture of current credit score.*

Accepted file types: pdf, Max. file size: 50 MB.

Upload additional information here. (Details on additional information can be found in the Veterans Assistance Program Guide.) If you are applying for housing assistance, you must upload your lease and W-9 or mortgage statement. If you are applying for assistance under the category of House Service Systems or Auto Repairs you must include a current price quote (within three weeks). If applying for utility assistance please include most current utility bill.*

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB.

Military Date of Entry*

Military Date of Release*

Please explain why you are applying for assistance*

2,000 character maximum.

Amount of grant assistance requested*

Have you received assistance from any other agencies? If so, please list them below.*

Do you have a payment plan in place for utilities?*

How did you hear about our Veterans Assistance Program?*

Please Confirm that you have read and understand the only areas of coverage that will be considered for a grant include rent/mortgage, utilities, house service systems, or auto repair. Only apply if you are requesting assistance in these areas. Any requests that are not within these areas will not be considered as they fall outside our guidelines.*

I have read the guidelines document in it's entirety and understand only areas within the guidelines will be considered for a grant.

To be eligible for assistance you must have received an Honorable Discharge or a General Discharge under honorable conditions.

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Veteran’s Assistance Program Form

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