Application for Support

Application for Support

P.O. Box 23006, Phoenix, AZ 85063
Operation Enduring Gratitude (OEG) is not a government agency, but a nonprofit organization providing home repairs since 2014 to qualifying, low-income veterans. Funding for these repairs, provided at low or no cost to you, comes through the generosity of corporations, foundations, congregations, individual donors and public funding agencies.

We use the services of certified local contractors for critical interior work and thousands of caring community volunteers for exterior repairs, such as wood replacement, caulking and painting. These dedicated volunteers give freely of their time and energy to help better our community. Financial resources vary on a yearly and monthly basis, which impacts the amount of service that can be provided to homeowners each year. If you qualify, we hope to be able to help you as soon as possible.
Click the Next button to complete the application.

Qualifications:
To be eligible for Operation Enduring Gratitude, home repairs you must:
- Have served in the military OR be the spouse/widower of a veteran.
- Be living on a low or moderate income as determined by the U. S.
- Department of Housing and Urban Development (HUD).
- Reside in a one-story home.
- Be the owner of the home in which you live (a single-family dwelling within Phoenix or Tucson Metropolitan Area).
- Be current on property taxes or have an official payment agreement with your County Tax Office for delinquent property taxes.
Required Documentation:
If you meet the above qualifications, you must provide copies of each of the following documents (DO NOT PROVIDE ORIGINALS):
1. Age verification: Current Driver’s License or Arizona ID.
2. Income Verification.
  a. Last year’s income tax return: first two pages of the 1040 (If Applicable)
  b. Copies of previous three (3) months bank statements
  c. Copies of three (3) most recent payroll check subs (or equivalent)
3. Proof of Military Service: DD214.
4. Proof of Disability Benefits (If Applicable).
5. Proof of Home Ownership: Recorded real property Deed or Deed of Trust.
6. Signed Release.
7. Completed Application.
Please Send Copies Only.

This information is kept strictly confidential and will be used only to verify eligibility.If you have questions or need assistance in completing this request, please contact us at (623) 428-9319.

Application for Services

There is no application fee required to request assistance from Operation Enduring Gratitude. Operation Enduring Gratitude has not authorized any other person or entity to act as its agent for the purposes of this application. Any fees or costs associated with this application paid by the applicant to any such person or entity are not fees or costs charged by Operation Enduring Gratitude.
Homeowner's Name*

First NameLast Name
Email*

Confirmation EmailPlease confirm email
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Alternate Phone Number
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Neighborhood
Length of time at this address*
Number of people in household*

Spouse Information
Spouse's Name

First NameLast Name
Spouse's Ethnicity (Choose one):

American Indian or Alaska NativeAsian and Pacific IslanderHispanic or LatinoWhite or Anglo AmericanAfrican American or BlackOther
Spouse's Date of Birth

MonthDayYear
Date
Did your spouse serve in the military

YesNo
Branch
Years of Service:
Rank if known:
(at discharge)

Residence Information

Give the following information about each household member (including children):

	Name	Sex	Ethnicity	Birth Date	Gross Monthly Income	Source of Income
1
2
3
4
5
6

Home Information Survey
House Type*

Frame HouseBrick HouseMobile Home, Duplex, or apartment.
Number of floors*

One Story HomeTwo Story HomeMobile Home, Duplex, or apartment.
Please describe any problems with the exterior of this home:
Please describe any problems with the interior of this home:
Please describe any problems with the electrical/plumbing of this home:
Please describe any problems with the safety concerns about this home:
In your opinion, what do you think this house needs most?

Signed Release

Information provided in this application is true and correct to the best of my knowledge and ability. Furthermore, I understand that OEG will utilize this application solely for determination of my qualification to receive services. No release of this information to third parties can be made without my express written permission unless required by law.
I ____________________________________________ (homeowner's name) give permission for Operation Enduring Gratitude and their volunteers to perform repairs and improvements on my home located at:

(Address) ___________________________________________________________________

(City) _____________________ , (State) __________ , (Zip Code) _______________.

I understand that Operation Enduring Gratitude is a volunteer initiative and that promises cannot be made as to the specific work that will be done.

The general plan for the repairs and improvements has been explained to me, but I give Operation Enduring Gratitude and its volunteer's full authority to determine the extent and types of repairs and improvements to be performed.

I understand that the repairs and improvements will be performed at low or no cost, and Operation Enduring Gratitude and its volunteers disclaim all warranties, expressed or implied concerning the repairs. Volunteers, some or all of whom may be unskilled will perform the repairs and improvements.

I agree that I will cooperate with the crew leader(s). I will assure that all able-bodied members of my family participate or that they will be absent from my home during repairs.

I understand that the repairs and improvements will be made on (workday date(s)), and that some preparation will likely be necessary prior to that date.

In consideration of the repairs and improvements, I further hold Operation Enduring Gratitude, its officers, directors, employees, agents, donors, volunteers, and other affiliates, collectively and individually, harmless from any claims and liabilities arising at any time as a result of the repairs, including, without limitation, any rights or causes of action resulting from personal injury or death, or damage to my property, directly or indirectly arising from any improperly performed repairs or improvements or defects in material or workmanship.

Media

I also grant to Operation Enduring Gratitude permission to take or have taken, still and moving photographs and films including television pictures of my home. I consent and authorize Operation Enduring Gratitude, its advertising agencies, news media and any other persons interested in Operation Enduring Gratitude, and its works, to use and reproduce the photographs, films, and pictures and to circulate and publicize the same by all means including, without limiting the generality of the foregoing, newspapers, television media, brochures, pamphlets, instructional materials, books, and clinical material.

No inducements or promises have been made to me to secure my signature to this release other than the intention of Operation Enduring Gratitude to perform the repairs and improvements and to use such photographs, films, and pictures for the primary purpose of promoting and aiding its program and its works.
Terms and Conditions*
Please verify that you are human*
Date

MonthDayYear
Date
Signature*

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Application for Support

Application for Services

Additional Applicant Information

Spouse Information

Residence Information

Home Information Survey

Signed Release