Application Form

Upon completion of the application form below, an email will be sent to the provided address, along with the required forms and information pertaining to additional next steps in the application process. For Veterans who are not capable of completing this form, immediate family members/representatives may fill out any and all information relevant to the assistance of the Veteran and his/her immediate family.

In order to complete your application packet, you will need to submit the following items:

• Signed Background Consent Form (will be emailed)
• Completed Financial Worksheet (will be emailed)
• Signed Media Release (will be emailed)
• Copy of your DD214 (preferred) or Proof of Service Letter
• Copy of your VA Award Letter and VA Ratings Letter
• Copy of your Driver’s License or other recent photo ID
• If applicable, a copy of your last mortgage statement
• If applicable, a copy of your Social Security Letter