GENERAL INFORMATION
MILITARY SERVICE HISTORY
EMERGENCY FINANCIAL REQUEST DETAILS
$
Note: Assistance is paid directly to the nonprofit on behalf of the veteran not directly to the applicant.
HARDSHIP NARRATIVE
REQUIRED DOCUMENTATION
One file only.
10 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
One file only.
10 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
One file only.
10 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
One file only.
10 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
The following documents are required, incomplete applications will not be considered. 
AUTHORIZATION AND RELEASE

By signing below, the non-profit certifies that all information provided in this application is true, accurate, and complete to the best of my knowledge. We understand that providing false statements will result in immediate denial of assistance.

The submitting nonprofit organization has verified the military service status and will be responsible for payment to the entities that are due payment(s) or if nonprofit organization paid the expense(s) prior, reimbursement would apply the expense(s) incurred, if applicable. 

We will provide a final follow up report submitted to UWWGC within two months of receiving the mini grant on behalf of this veteran.

Sign above